Individual
DR. WADE ROGER DEMORDAUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1450 N 2ND E, REXBURG, ID 83440-5131
(208) 497-6406
(208) 359-3007
Mailing address
PO BOX 158, REXBURG, ID 83440-0158
(208) 497-6406
(208) 359-3007
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
14349
CA
152WC0802X
Corneal and Contact Management Optometrist
1853
AZ
152WC0802X
Corneal and Contact Management Optometrist
351670-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
Primary
ODP-959
ID
Other
Enumeration date
05/03/2006
Last updated
02/01/2016
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