Organization
JEFFREY C KOSSOL, O.D., INC
Active
Other names
PALO CEDRO OPTOMETRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY C KOSSOL O.D. (OWNER)
(530) 547-2020
Entity
Organization
Contact information
Practice address
9372 DESCHUTES RD, PALO CEDRO, CA 96073-9763
(530) 547-2020
(530) 547-2101
Mailing address
9372 DESCHUTES RD, PALO CEDRO, CA 96073-9763
(530) 547-2020
(530) 547-2101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 7249 TPL
CA
Other
Enumeration date
06/04/2008
Last updated
01/07/2009
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