DR. Cindy L Ellenbecker, OD

NPI #1134167703 in Coeur D Alene, Idaho

Provider Information

NPI Number: 1134167703
Entity Type: Individual
Name: DR. Cindy L Ellenbecker, OD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1250 W IRONWOOD DR
City: Coeur D Alene
State: Idaho
ZIP Code: 83814-2679
Phone: (208) 667-2255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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