DENNIS RADFORD OD PA

IDAHO FALLS, ID
NPI1831371467
Entity TypeOrganization
Authorized ContactDENNIS S RADFORD
O PT Ometrist
208-525-2090
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-100115)
Enumeration Date2007-12-05
Last Update Date2007-12-05
Business Address
DENNIS RADFORD OD PA
700 E 17TH ST
IDAHO FALLS, ID 83404-6152
Phone number: 208-522-2839
Mailing Address
DENNIS RADFORD OD PA
PO BOX 3469
IDAHO FALLS, ID 83403-3469
Phone number: 208-525-2090
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