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Tiffany Anne Panek
Ophthalmic Technician/Technologist in Boise, Idaho
NPI 1396461281

Tiffany Anne Panek is a Ophthalmic Technician/Technologist based in Boise, ID and is specialized in Ophthalmic. Tiffany Anne Panek practices in Boise, ID. The NPI Number for Tiffany Anne Panek is 1396461281 and holds a License No. (Idaho).

The current practice location address for Tiffany Anne Panek is 500 W Fort St Bldg 6, Boise, ID and can be reached out via phone at 208-422-1072.

Location: 500 W Fort St Bldg 6, Boise, ID, 83702-4501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396461281
Provider Name
Tiffany Anne Panek
Credential
Provider Entity Type
Individual
Gender
Female
Address
500 W Fort St Bldg 6, Boise, ID, 83702-4501
Phone Number
208-422-1072
Fax Number
Provider Enumeration Date
10/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 W Fort St Bldg 6
City
Boise
State
Idaho
Zip
83702-4501
Phone Number
208-422-1072
Fax Number
person
Provider Business Mailing Address Details
Address
500 W Fort St Bldg 6
City
Boise
State
Idaho
Zip
83702-4501
Phone Number
208-422-1072
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ophthalmic
Taxonomy
156FX1100X
License No.
(Colorado)
Definition
Definition to come...
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