John S Kundrat, MD PA

NPI #1255678546 in Lewiston, Idaho

Provider Information

NPI Number: 1255678546
Entity Type: Organization
Organization Name: John S Kundrat, MD PA
Primary Specialty: Ophthalmology
Enumeration Date: Jan 7, 2013
Last Updated: Jan 7, 2013

Practice Location

Address: 3316 4TH ST
Address 2: BLDG 3
City: Lewiston
State: Idaho
ZIP Code: 83501-4405
Phone: (208) 746-0458

Authorized Official

Name: DR. JOHN S KUNDRAT, MD
Title: PRESIDENT
Phone: (208) 746-0458

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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