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Wilson Polito Pllc

NPI #1710276324 in Lewiston, Idaho

Provider Information

NPI Number
1710276324
Entity Type
Organization
Organization Name
Wilson Polito Pllc
Primary Specialty
Optometrist
Enumeration Date
Apr 4, 2011
Last Updated
Nov 6, 2020

Practice Location

Address
739 BRYDEN AVE STE A
City
Lewiston
State
Idaho
ZIP Code
83501-4909
Phone
(208) 743-5830

Authorized Official

Name
NATHAN WILSON, OD
Title
OPTOMETRIST/PRESIDENT
Phone
(720) 212-8821

Specialties & Taxonomy Codes

Specialty
Optometrist

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