Gideon Bender

NPI #1386166312 in Eagle, Idaho

Provider Information

NPI Number: 1386166312
Entity Type: Individual
Name: Gideon Bender
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Jul 12, 2017
Last Updated: Jul 12, 2017

Practice Location

Address: 355 S EAGLE RD
City: Eagle
State: Idaho
ZIP Code: 83616-5912
Phone: (208) 938-2015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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