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Individual

DR. TOBY PALM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
201 DAKOTA STREET, SUTHERLIN, OR 97479-9113
(541) 459-4333
(541) 459-7512
Mailing address
201 DAKOTA STREET, SUTHERLIN, OR 97479-9113
(541) 459-4333
(541) 459-7512

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1327
AZ
152W00000X
Optometrist
Primary
2872T
OR

Other

Enumeration date
10/07/2005
Last updated
07/17/2015
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