Individual
DR. EVERETT BOBOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
403 N EUCLID ST, GRANDVIEW, WA 98930-9407
(509) 882-2650
(509) 882-4225
Mailing address
403 N EUCLID ST, GRANDVIEW, WA 98930-9407
(509) 882-2650
(509) 882-4225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60293170
WA
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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