Hayden Vision Center P.a.

NPI #1407975873 in Hayden, Idaho

Provider Information

NPI Number: 1407975873
Entity Type: Organization
Organization Name: Hayden Vision Center P.a.
Primary Specialty: Specialist
Enumeration Date: Mar 28, 2007
Last Updated: Mar 13, 2008

Practice Location

Address: 8445 N GOVERNMENT WAY
City: Hayden
State: Idaho
ZIP Code: 83835-9280
Phone: (208) 772-3208

Authorized Official

Name: DR. DEBRA L STOENNER, O.D
Title: OWNER
Phone: (208) 772-3208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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