Organization
DRS TEIGEN & GRAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE O TEIGEN O.D. (PRESIDENT)
(509) 468-2020
Entity
Organization
Contact information
Practice address
9671 N NEVADA ST STE 210, SPOKANE, WA 99218-1146
(509) 468-2020
Mailing address
9671 N NEVADA ST STE 210, SPOKANE, WA 99218-1146
(509) 467-3219
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001023
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004398
—
WA
05
—
2332005
—
WA
Enumeration date
10/10/2006
Last updated
10/18/2007
Update your record
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