DR. Jacoby John Dewald, OD

NPI #1740591973 in Woodward, Oklahoma

Provider Information

NPI Number: 1740591973
Entity Type: Individual
Name: DR. Jacoby John Dewald, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 22, 2010
Last Updated: Sep 21, 2012

Practice Location

Address: 1418 MAIN ST
City: Woodward
State: Oklahoma
ZIP Code: 73801-3004
Phone: (580) 256-6699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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