Etosha C Fegan, OD

NPI #1275996894 in Bend, Oregon

Provider Information

NPI Number: 1275996894
Entity Type: Individual
Name: Etosha C Fegan, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Mar 31, 2016
Last Updated: Nov 15, 2022

Practice Location

Address: 143 SW SHEVLIN HIXON DR STE 101
City: Bend
State: Oregon
ZIP Code: 97702-3189
Phone: (541) 317-9747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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