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Individual

DR. TOM FICKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
135 NE TERRY LN, GRANTS PASS, OR 97526-4801
(541) 471-2070
(541) 582-2600
Mailing address
744 FOREST HILLS DR, ROGUE RIVER, OR 97537-9664
(541) 471-2070
(541) 582-2600

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4030T
OR

Other

Enumeration date
12/01/2006
Last updated
07/08/2007
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