DR. William A Pellow X, OD

NPI #1508964180 in Republic, Washington

Provider Information

NPI Number: 1508964180
Entity Type: Individual
Name: DR. William A Pellow X, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 20, 2006
Last Updated: Oct 2, 2012

Practice Location

Address: 90 N CLARK AVE
Address 2: UNIT 3
City: Republic
State: Washington
ZIP Code: 99166-5024
Phone: (509) 775-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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