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Organization

JD OPTOMETRICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSHUA G DAVIS OD (OPTOMETRIST/PRESIDENT)
(208) 757-1227
Entity
Organization

Contact information

Practice address
1201 S 25TH E, AMMON, ID 83406-5729
(208) 524-8978
Mailing address
1201 S 25TH E, AMMON, ID 83406-5729
(208) 524-8978

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ODP 100167
ID

Other

Enumeration date
03/21/2013
Last updated
04/02/2013
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