DR. Justin Jay Denison, O.D.

NPI #1396183935 in Boise, Idaho

Provider Information

NPI Number: 1396183935
Entity Type: Individual
Name: DR. Justin Jay Denison, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 5, 2013
Last Updated: Jun 5, 2013

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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