Individual
DR. NATHANEAL D HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
514 OAK ST, SANDPOINT, ID 83864
(208) 265-7965
Mailing address
514 OAK ST STE A, SANDPOINT, ID 83864-1480
(208) 265-7965
(208) 265-7905
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100203
ID
Other
Enumeration date
06/14/2010
Last updated
03/09/2023
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