Paul Bigelow Od PC

NPI #1326239534 in Boise, Idaho

Provider Information

NPI Number: 1326239534
Entity Type: Organization
Organization Name: Paul Bigelow Od PC
Primary Specialty: Optometrist
Enumeration Date: Aug 5, 2007
Last Updated: Nov 21, 2007

Practice Location

Address: 415 E PARKCENTER BLVD
Address 2: SUITE 127
City: Boise
State: Idaho
ZIP Code: 83706-6504
Phone: (208) 342-4841

Authorized Official

Name: PAUL BIGELOW, O.D.
Title: PRESIDENT
Phone: (208) 342-4841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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