Individual
DR. JOSHUA CLARK DALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8641 W FRANKLIN RD, BOISE, ID 83709-0632
(208) 378-8989
Mailing address
9919 TOPAZ AVE APT 27, HESPERIA, CA 92345-8032
(208) 840-0861
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100477
ID
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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