DR. Jacob G Despain, O.D.

NPI #1124284997 in Cody, Wyoming

Provider Information

NPI Number: 1124284997
Entity Type: Individual
Name: DR. Jacob G Despain, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 31, 2008
Last Updated: Sep 27, 2013

Practice Location

Address: 1708 STAMPEDE AVE
City: Cody
State: Wyoming
ZIP Code: 82414-4829
Phone: (307) 587-2404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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