DR. Carmine John Petracca, OD

NPI #1457468613 in Lewiston, Idaho

Provider Information

NPI Number
1457468613
Entity Type
Individual
Name
DR. Carmine John Petracca, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Aug 24, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
939 BRYDEN
State
Idaho
ZIP Code
83501-5097
Phone
(208) 743-1761

Specialties & Taxonomy Codes

Specialty
Optometrist

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