Individual
DR. WENDELL FACKRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
421 N. COLE RD. STE 102, BOISE, ID 83704
(208) 658-1068
Mailing address
421 N COLE RD STE 102, BOISE, ID 83704-9114
(208) 658-1068
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100232
ID
Other
Enumeration date
07/05/2011
Last updated
08/06/2016
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