Panhandle Eye Clinics Chartered

NPI #1275715757 in St Maries, Idaho

Provider Information

NPI Number
1275715757
Entity Type
Organization
Organization Name
Panhandle Eye Clinics Chartered
Primary Specialty
Eyewear Supplier
Enumeration Date
Nov 27, 2007
Last Updated
Jul 2, 2010

Practice Location

Address
704 W COLLEGE AVE
State
Idaho
ZIP Code
83861-1824
Phone
(208) 245-6563

Authorized Official

Name
DR. ROBERT D MAGWIRE, OD
Title
DOCTOR/OWNER
Phone
(208) 245-6563

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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