RUSSELL R GIST OD PC

ANKENY, IA
NPI1700831492
Entity TypeOrganization
Authorized ContactRUSSELL R GIST
President
515-965-8488
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
Enumeration Date2006-05-23
Last Update Date2007-11-15
Business Address
RUSSELL R GIST OD PC
1810 SW WHITE BIRCH CIR SUITE 109
ANKENY, IA 50023-7226
Phone number: 515-965-8488
Mailing Address
RUSSELL R GIST OD PC
1810 SW WHITE BIRCH CIR SUITE 109
ANKENY, IA 50023-7226
Phone number: 515-965-8488
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