DR. Derek George Muto, ODP

NPI #1881123933 in Boise, Idaho

Provider Information

NPI Number: 1881123933
Entity Type: Individual
Name: DR. Derek George Muto, ODP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: ODP
Enumeration Date: Jun 11, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 1175 W BOISE AVE
City: Boise
State: Idaho
ZIP Code: 83706-3503
Phone: (208) 384-9194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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