Carla Deann Shoults, O.D.

NPI #1164602371 in Gillette, Wyoming

Provider Information

NPI Number: 1164602371
Entity Type: Individual
Name: Carla Deann Shoults, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 6, 2007
Last Updated: Aug 22, 2008

Practice Location

Address: 3107 GOLDENROD AVE
City: Gillette
State: Wyoming
ZIP Code: 82716-2287
Phone: (307) 689-5798

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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