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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
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