Individual
DR. DOUGLAS JAMES HILBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1991 W BROADWAY ST, SUITE 2, IDAHO FALLS, ID 83402-3041
(208) 529-4333
(208) 529-4366
Mailing address
1880 TIFFANY DR, IDAHO FALLS, ID 83404-6129
(208) 524-4668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-546
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505148
—
ID
Enumeration date
08/26/2005
Last updated
10/15/2008
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