Individual
DR. GARY ALLEN KITZROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2051 NEWMARK AVE, COOS BAY, OR 97420-4728
(541) 888-4849
Mailing address
2051 NEWMARK AVE, COOS BAY, OR 97420-4728
(541) 888-4849
(541) 888-0309
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2339T
OR
Other
Enumeration date
09/26/2007
Last updated
05/07/2010
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