DOUGLAS GUSHWA

POCATELLO, ID
NPI1629063284
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  0562)
Enumeration Date2005-09-20
Last Update Date2011-04-13
Business Address
-- DOUGLAS GUSHWA OD
1155 POCATELLO CREEK RD
POCATELLO, ID 83201-2949
Phone number: 208-233-2020
Mailing Address
-- DOUGLAS GUSHWA OD
1155 POCATELLO CREEK RD
POCATELLO, ID 83201-2949
Phone number: 208-233-2020
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