Alisa K Stewart, OPTICIAN

NPI #1467617266 in Cody, Wyoming

Provider Information

NPI Number: 1467617266
Entity Type: Individual
Name: Alisa K Stewart, OPTICIAN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OPTICIAN
Enumeration Date: Jul 22, 2008
Last Updated: Oct 6, 2011

Practice Location

Address: 424 YELLOWSTONE AVE
Address 2: SUITE 110
City: Cody
State: Wyoming
ZIP Code: 82414-9318
Phone: (307) 587-5788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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