Individual
DR. PAUL CHRISTIAN NEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
305 E JEFFERSON ST, BOISE, ID 83712-6273
(208) 381-6910
Mailing address
570 W BUROAK DR, MERIDIAN, ID 83642-4922
(719) 314-5431
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-2854
CO
Other
Enumeration date
07/13/2011
Last updated
08/29/2019
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