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Individual

ADAM C DAYLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
906 MICHIGAN AVENUE, OROFINO, ID 83544
(208) 476-3815
Mailing address
PO BOX 129, OROFINO, ID 83544-0129
(208) 476-3815

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP100032
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806634300
ID
Enumeration date
12/08/2005
Last updated
10/30/2008
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