Individual
NICHOLAS GUBLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4403 W COURT ST, STE J, PASCO, WA 99301-2879
(509) 547-9695
(509) 547-5017
Mailing address
5813 TYRE DR, PASCO, WA 99301-7017
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60376271
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2034845
—
WA
Enumeration date
06/28/2013
Last updated
06/03/2015
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