Individual
MRS. AMBER L SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1926 W STATE ST, BOISE, ID 83702-3957
(208) 336-2020
Mailing address
1926 WEST JEFFERSON STREET, BOISE, ID 83702
(208) 336-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP 1017
ID
Other
Enumeration date
06/17/2006
Last updated
06/06/2014
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