Thomas Marvin Wiley, OD

NPI #1306956891 in Sandpoint, Idaho

Provider Information

NPI Number: 1306956891
Entity Type: Individual
Name: Thomas Marvin Wiley, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 30, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1333 SUPERIOR ST
City: Sandpoint
State: Idaho
ZIP Code: 83864
Phone: (208) 265-4140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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