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Individual

DR. JOSEPH GREG TOLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
255 W 3RD ST, POWELL, WY 82435-2321
(307) 754-7151
(307) 754-4261
Mailing address
PO BOX 231, POWELL, WY 82435-0231
(307) 754-7151
(307) 754-4261

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
167T
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104233500
WY
05
120171900
WY
01
313003
BC/BS
WY
01
P00115325
PALMETTO GBA - PROVIDER
WY
Enumeration date
08/11/2005
Last updated
05/21/2014
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