Jeffrey C Kossol, O.d., INC

NPI #1942469028 in Palo Cedro, California

Provider Information

NPI Number: 1942469028
Entity Type: Organization
Organization Name: Jeffrey C Kossol, O.d., INC
Primary Specialty: Optometrist
Enumeration Date: Jun 4, 2008
Last Updated: Jan 7, 2009

Practice Location

Address: 9372 DESCHUTES RD
City: Palo Cedro
State: California
ZIP Code: 96073-9763
Phone: (530) 547-2020

Authorized Official

Name: DR. JEFFREY C KOSSOL, O.D.
Title: OWNER
Phone: (530) 547-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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