DR. Chad William Cleverly, O.D.

NPI #1386660959 in Boise, Idaho

Provider Information

NPI Number: 1386660959
Entity Type: Individual
Name: DR. Chad William Cleverly, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3293 N MILWAUKEE ST
City: Boise
State: Idaho
ZIP Code: 83704-4446
Phone: (208) 322-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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