DR. Trevor H Dickson, OD

NPI #1588280176 in Idaho Falls, Idaho

Provider Information

NPI Number: 1588280176
Entity Type: Individual
Name: DR. Trevor H Dickson, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 19, 2020
Last Updated: Jun 19, 2020

Practice Location

Address: 500 S UTAH AVE
City: Idaho Falls
State: Idaho
ZIP Code: 83402-3305
Phone: (208) 709-5371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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