Organization
THOMAS G JUHL, OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GEORGE JUHL O.D. (OWNER)
(641) 664-2325
Entity
Organization
Contact information
Practice address
505 W JEFFERSON ST, BLOOMFIELD, IA 52537-1515
(641) 664-2325
(641) 664-3433
Mailing address
505 W JEFFERSON ST, PO BOX 319, BLOOMFIELD, IA 52537-1515
(641) 664-2325
(641) 664-3433
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1621
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165845
—
IA
Enumeration date
12/13/2011
Last updated
12/13/2011
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