Organization
EYE CARE NORTHWEST PA
Active
Other names
Jeffrey Liegner, MD
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY TODD LIEGNER MD (MEDICAL DIRECTOR)
(208) 639-2542
Entity
Organization
Contact information
Practice address
251 SW 19TH ST, ONTARIO, OR 97914-1972
(208) 639-2542
(201) 300-0138
Mailing address
2663 E PARKRIVER DR, BOISE, ID 83706-6083
(208) 639-2542
(201) 300-0138
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2007
Last updated
02/11/2021
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