Bryce B. Thueson, O.d., Pllc

NPI #1457716482 in Rexburg, Idaho

Provider Information

NPI Number: 1457716482
Entity Type: Organization
Organization Name: Bryce B. Thueson, O.d., Pllc
Primary Specialty: Optometrist
Enumeration Date: Dec 17, 2015
Last Updated: Dec 17, 2015

Practice Location

Address: 76 PROFESSIONAL PLZ
City: Rexburg
State: Idaho
ZIP Code: 83440-2047
Phone: (208) 356-4585

Authorized Official

Name: DR. BRYCE B THUESON, O.D.
Title: OWNER
Phone: (208) 356-4585

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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