Organization
I & T WHIPPLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN WHIPPLE O.D. (OPTOMETRIST/OWNER)
(208) 534-8488
Entity
Organization
Contact information
Practice address
2126 PEBBLEBROOK RD, PLEASANT VIEW, UT 84404-2808
(208) 534-8488
Mailing address
2126 PEBBLEBROOK RD, PLEASANT VIEW, UT 84404-2808
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100236
ID
Other
Enumeration date
07/13/2011
Last updated
09/18/2012
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