Individual
COLTEN DEAN VAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8650 S 71ST PLZ STE D, PAPILLION, NE 68133-2133
(402) 408-1016
Mailing address
57513 839 RD, PILGER, NE 68768-4011
(402) 841-9057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1623
NE
Other
Enumeration date
06/15/2023
Last updated
07/27/2023
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