Larry Breazel Od PA

NPI #1417158312 in Spokane Valley, Washington

Provider Information

NPI Number
1417158312
Entity Type
Organization
Organization Name
Larry Breazel Od PA
Primary Specialty
Optometrist
Enumeration Date
May 29, 2007
Last Updated
Jul 3, 2012

Practice Location

Address
509 N SULLIVAN RD STE G
ZIP Code
99037-8566
Phone
(509) 922-2400

Authorized Official

Name
LARRY D BREAZEAL, O.D.
Title
OWNER
Phone
(509) 922-2400

Specialties & Taxonomy Codes

Specialty
Optometrist

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