person
Mr. Douglas Joel Davidson
Optician in Moscow, Idaho
NPI 1770672842

Douglas Joel Davidson is a Optician based in Moscow, ID and is specialized in Optician. Douglas Joel Davidson practices in Moscow, ID. The NPI Number for Douglas Joel Davidson is 1770672842 and holds a License No. DO00000689 (Idaho).

The current practice location address for Douglas Joel Davidson is 512 S Main St, Moscow, ID and can be reached out via phone at 208-883-3000. You can also correspond with Douglas Joel Davidson through the mailing address at 512 S MAIN ST, MOSCOW, ID - 83843-2918 (mailing address contact number: 208-883-3000).

Location: 512 S Main St, Moscow, ID, 83843-2918
person
Provider Profile Details
NPI Number
1770672842
Provider Name
Douglas Joel Davidson
Credential
Provider Entity Type
Individual
Gender
Male
Address
512 S Main St, Moscow, ID, 83843-2918
Phone Number
208-883-3000
Fax Number
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
512 S Main St
City
State
Zip
83843-2918
Phone Number
208-883-3000
Fax Number
person
Provider Business Mailing Address Details
Address
512 S Main St
City
State
Zip
83843-2918
Phone Number
208-883-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
DO00000689 (Washington)
Definition
Definition to come...
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