Ivan Russell Whetten, O.D.

NPI #1780069401 in Rock Springs, Wyoming

Provider Information

NPI Number: 1780069401
Entity Type: Individual
Name: Ivan Russell Whetten, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 23, 2015
Last Updated: Aug 11, 2015

Practice Location

Address: 2624 COMMERCIAL WAY
Address 2: STE B
City: Rock Springs
State: Wyoming
ZIP Code: 82901-4769
Phone: (307) 382-3753

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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