DR. Jay Leslie Borgholthaus, OD

NPI #1952353716 in Pocatello, Idaho

Provider Information

NPI Number
1952353716
Entity Type
Individual
Name
DR. Jay Leslie Borgholthaus, OD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
May 17, 2006
Last Updated
Jun 22, 2016

Practice Location

Address
301 S 4TH AVE # C-2
State
Idaho
ZIP Code
83201-6462
Phone
(208) 637-0841

Specialties & Taxonomy Codes

Specialty
Optometrist

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