Organization
SCOTT BURNS TAYLOR
Active
Other names
Salmon River Vision Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN J JONES O.D. (OWNER)
(208) 756-4811
Entity
Organization
Contact information
Practice address
1301 MAIN ST, SUITE 10, SALMON, ID 83467-4453
(208) 756-4811
(208) 756-3741
Mailing address
1301 MAIN ST, SUITE 10, SALMON, ID 83467-4453
(208) 756-4811
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-555
ID
152WC0802X
Corneal and Contact Management Optometrist
ODP-100011
ID
Other
Enumeration date
07/03/2007
Last updated
02/05/2012
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