DR. Paul D Whitesides, O.D.

NPI #1629163639 in Boise, Idaho

Provider Information

NPI Number: 1629163639
Entity Type: Individual
Name: DR. Paul D Whitesides, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 4, 2006
Last Updated: Aug 22, 2007

Practice Location

Address: 999 N CURTIS RD
Address 2: # 205
City: Boise
State: Idaho
ZIP Code: 83706-9999
Phone: (208) 373-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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