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Individual

DANIEL D DAVID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
560 SE BISHOP BLVD, PULLMAN, WA 99163-5505
(509) 334-3300
(509) 334-7591
Mailing address
560 SE BISHOP BLVD, PULLMAN, WA 99163-5505
(509) 334-3300
(509) 334-7591

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001643
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000096751
LABOR & INDUSTRIES
WA
01
00010015358
ASURIS NORTHWEST HEALTH
01
000503341
AETNA
05
2005718
WA
01
3506831
CIGNA
01
DAVDN5371457713
PREMERA BLUE CROSS
Enumeration date
09/19/2005
Last updated
02/15/2013
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