Individual
ALAN PAUL ADAMSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
2300 E 17TH ST, SUITE 1157, IDAHO FALLS, ID 83404-6504
(208) 552-3355
(208) 522-6120
Mailing address
3063 OLD CASTLE LN, IDAHO FALLS, ID 83404-7352
(208) 522-3237
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
359678-9934
UT
152W00000X
Optometrist
Primary
ODP-1028
ID
Other
Enumeration date
12/22/2005
Last updated
09/06/2023
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