Stephen H Creviston, O.D.

NPI #1245360072 in Moses Lake, Washington

Provider Information

NPI Number: 1245360072
Entity Type: Individual
Name: Stephen H Creviston, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Mar 7, 2007
Last Updated: Nov 11, 2008

Practice Location

Address: 601 S PIONEER WAY
Address 2: SUITE D
City: Moses Lake
State: Washington
ZIP Code: 98837-4801
Phone: (509) 765-2125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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