Dennis Radford Od PA
NPI #1831371467 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1831371467
- Entity Type
- Organization
- Organization Name
- Dennis Radford Od PA
- Primary Specialty
- Optometrist
- Enumeration Date
- Dec 5, 2007
- Last Updated
- Dec 5, 2007
Practice Location
- Address
- 700 E 17TH ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6152
- Phone
- (208) 522-2839
Authorized Official
- Name
- DR. DENNIS S RADFORD, O D
- Title
- OPTOMETRIST
- Phone
- (208) 525-2090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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