Dallas Stevens

NPI #1174775332 in Rexburg, Idaho

Provider Information

NPI Number: 1174775332
Entity Type: Individual
Name: Dallas Stevens
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Oct 21, 2008
Last Updated: May 1, 2020

Practice Location

Address: 1232 PLEASANTVIEW
City: Rexburg
State: Idaho
ZIP Code: 83440-5316
Phone: (208) 709-7314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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