Damon Scott Mortensen, OD

NPI #1760619365 in Rexburg, Idaho

Provider Information

NPI Number: 1760619365
Entity Type: Individual
Name: Damon Scott Mortensen, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 22, 2009
Last Updated: Jun 22, 2009

Practice Location

Address: 49 E 1ST S
City: Rexburg
State: Idaho
ZIP Code: 83440-1966
Phone: (208) 356-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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