Dan C Thieme Od PC

NPI #1780790154 in Payette, Idaho

Provider Information

NPI Number: 1780790154
Entity Type: Organization
Organization Name: Dan C Thieme Od PC
Primary Specialty: Optometrist
Enumeration Date: Aug 21, 2006
Last Updated: Dec 11, 2008

Practice Location

Address: 827 CENTER AVE
City: Payette
State: Idaho
ZIP Code: 83661-2535
Phone: (208) 642-4434

Authorized Official

Name: DR. DAN C. THIEME, O.D.
Title: OWNER
Phone: (208) 642-4434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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