Individual
JOHN MCGIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1824 FRONT ST, SUITE B, LYNDEN, WA 98264-1729
(360) 933-1815
(360) 933-4617
Mailing address
1824 FRONT ST, SUITE B, LYNDEN, WA 98264-1729
(360) 933-1815
(360) 933-4617
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60291226
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024566
—
WA
05
—
2006334
—
WA
05
—
2006335
—
WA
05
—
2014245
—
WA
05
—
2020069
—
WA
Enumeration date
06/27/2012
Last updated
01/22/2014
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