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Individual

DR. FREDERICK GEORGE DOWNARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
565 JENSEN GROVE, BLACKFOOT, ID 83221
(208) 785-8974
(208) 785-8976
Mailing address
1990 SABIN DR, AMMON, ID 83406
(208) 522-6933

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1986D
OR
152W00000X
Optometrist
Primary
ODD-799
ID

Other

Enumeration date
09/26/2006
Last updated
07/09/2007
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