Jerome Wh Niswonger MD INC

NPI #1093979536 in Willows, California

Provider Information

NPI Number: 1093979536
Entity Type: Organization
Organization Name: Jerome Wh Niswonger MD INC
Primary Specialty: Ophthalmology
Enumeration Date: Jul 14, 2008
Last Updated: Jul 14, 2008

Practice Location

Address: 245 N VILLA AVE
City: Willows
State: California
ZIP Code: 95988-2607
Phone: (530) 877-2020

Authorized Official

Name: DR. JEROME NISWONGER, M.D.
Title: OWNER
Phone: (530) 877-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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