Drew C Dayton Chartered

NPI #1407984925 in Middleton, Idaho

Provider Information

NPI Number: 1407984925
Entity Type: Organization
Organization Name: Drew C Dayton Chartered
Primary Specialty: Optometrist
Enumeration Date: Feb 28, 2007
Last Updated: Feb 24, 2012

Practice Location

Address: 622 E. MAIN ST.
City: Middleton
State: Idaho
ZIP Code: 83644-5502
Phone: (208) 585-9500

Authorized Official

Name: DREW C DAYTON, O.D.
Title: PRESIDENT OWNER
Phone: (208) 585-9500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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