James C Wavra

NPI #1841205630 in Spokane, Washington

Provider Information

NPI Number
1841205630
Entity Type
Organization
Organization Name
James C Wavra
Primary Specialty
Optometrist
Enumeration Date
Jul 30, 2006
Last Updated
Oct 10, 2007

Practice Location

Address
12 E ROWAN AVE
Address 2
SUITE 1
ZIP Code
99207-1232
Phone
(509) 487-0600

Authorized Official

Name
DR. JAMES C WAVRA, O.D.
Title
OWNER PHYSICIAN
Phone
(509) 487-0600

Specialties & Taxonomy Codes

Specialty
Optometrist

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