Individual
DR. DANIEL EDWARD CREVISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
601 S PIONEER WAY STE G, MOSES LAKE, WA 98837-1837
(509) 766-2125
(509) 766-0147
Mailing address
601 S PIONEER WAY STE G, MOSES LAKE, WA 98837-1837
(509) 766-2125
(509) 766-0147
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD60394191
WA
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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