Individual
GEORGE A PARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1205 E 6TH ST, MOSCOW, ID 83843-3705
(208) 882-3434
(208) 883-4229
Mailing address
1205 E 6TH ST, MOSCOW, ID 83843-3705
(208) 882-3434
(208) 883-4229
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP 714
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002595000
—
ID
Enumeration date
07/01/2006
Last updated
11/19/2007
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