Paul Nefedov
NPI #1487017075 in Longview, Washington
Provider Information
- NPI Number
- 1487017075
- Entity Type
- Individual
- Name
- Paul Nefedov
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Enumeration Date
- Mar 31, 2016
- Last Updated
- Jun 17, 2022
Practice Location
- Address
- 600 TRIANGLE CTR STE 400
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-4667
- Phone
- (360) 423-0220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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