Jerry Blair Nave, OD

NPI #1245340314 in Idaho Falls, Idaho

Provider Information

NPI Number: 1245340314
Entity Type: Individual
Name: Jerry Blair Nave, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 30, 2006
Last Updated: Nov 10, 2008

Practice Location

Address: 2550 S 25TH E
City: Idaho Falls
State: Idaho
ZIP Code: 83404
Phone: (208) 552-7323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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