DR. Nathan Cody Mortensen, OD

NPI #1194253682 in Rexburg, Idaho

Provider Information

NPI Number: 1194253682
Entity Type: Individual
Name: DR. Nathan Cody Mortensen, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 26, 2017
Last Updated: May 26, 2017

Practice Location

Address: 49 E 1ST S
City: Rexburg
State: Idaho
ZIP Code: 83440-1966
Phone: (208) 356-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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