DR. Wade Roger Demordaunt, O.D.

NPI #1275591711 in Rexburg, Idaho

Provider Information

NPI Number
1275591711
Entity Type
Individual
Name
DR. Wade Roger Demordaunt, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist - Corneal and Contact Management
Credential
O.D.
Enumeration Date
May 3, 2006
Last Updated
Feb 1, 2016

Practice Location

Address
1450 N 2ND E
State
Idaho
ZIP Code
83440-5131
Phone
(208) 497-6406

Specialties & Taxonomy Codes

Specialty
Optometrist - Corneal and Contact ManagementCorneal and Contact Management
Optometrist

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