Alicia Thibodeaux, O.D.

NPI #1265885990 in Gallup, New Mexico

Provider Information

NPI Number: 1265885990
Entity Type: Individual
Name: Alicia Thibodeaux, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 18, 2016
Last Updated: Apr 17, 2017

Practice Location

Address: 516 E NIZHONI BLVD
City: Gallup
State: New Mexico
ZIP Code: 87301-5748
Phone: (505) 722-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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