Individual
DR. DONALD TODD WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
104 S FREYA ST., STE 220, WHITE FLAG BLDG, SPOKANE, WA 99202-4867
(509) 535-5855
(509) 535-3916
Mailing address
104 S FREYA ST., STE 220, WHITE FLAG BLDG, SPOKANE, WA 99202-4867
(509) 535-5855
(509) 535-3916
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
1528-TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2024842
—
WA
Enumeration date
07/17/2006
Last updated
03/21/2019
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