TODD RANDALL PIETIG

CLIVE, IA
NPI1962693028
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: IA  002405)
Enumeration Date2007-08-05
Last Update Date2011-02-25
Business Address
Dr. TODD RANDALL PIETIG O.D.
12871 UNIVERSITY AVE SUITE 140
CLIVE, IA 50325-8255
Phone number: 712-830-6806
Mailing Address
Dr. TODD RANDALL PIETIG O.D.
4105 SW BLUEGRASS DR
ANKENY, IA 50023-8280
Phone number: 712-830-6806
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