Timothy L Tello, OD

NPI #1346348000 in Bismarck, North Dakota

Provider Information

NPI Number: 1346348000
Entity Type: Individual
Name: Timothy L Tello, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1221 W DIVIDE AVE
Address 2: SUITE 1
City: Bismarck
State: North Dakota
ZIP Code: 58501-1290
Phone: (701) 224-0661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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