Individual
DR. WILLIAM A PELLOW X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
90 N CLARK AVE, UNIT 3, REPUBLIC, WA 99166-5024
(509) 775-3800
(509) 775-3994
Mailing address
PO BOX 409, REPUBLIC, WA 99166-0409
(509) 775-3800
(509) 775-3994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1669TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001386
—
WA
Enumeration date
09/20/2006
Last updated
10/02/2012
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