DR. David John Antonie, O.D.

NPI #1215071246 in Boise, Idaho

Provider Information

NPI Number: 1215071246
Entity Type: Individual
Name: DR. David John Antonie, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 15, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 460 N MILWAUKEE ST
Address 2: SEARS OPTICAL
City: Boise
State: Idaho
ZIP Code: 83704-9122
Phone: (208) 375-3030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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