JUSTIN DAVID SPARHAWK

NAMPA, ID
NPI1669552048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-100122)
Additional Taxonomies152WC0802X Optometrist, Corneal and Contact Management
(Licence: ID  ODP-100122)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
Dr. JUSTIN DAVID SPARHAWK OD
2025 12TH AVE RD
NAMPA, ID 83686-6459
Phone number: 208-461-1000
Mailing Address
Dr. JUSTIN DAVID SPARHAWK OD
781 N SHADOWRIDGE AVE
EAGLE, ID 83616-5674
Phone number: 208-939-3294