Individual
DR. BRITTANY HIGHSMITH MULRONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1702 S KIMBALL AVE, CALDWELL, ID 83605-4826
(208) 459-2641
Mailing address
1702 S KIMBALL AVE, CALDWELL, ID 83605-4826
(208) 459-2641
(208) 459-2895
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
100227
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010153551
REGENCE
—
05
—
1831486687
—
WA
01
—
V71668
BLUE CROSS
—
Enumeration date
06/30/2011
Last updated
12/26/2018
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