Individual
DR. RODNEY ALAN WINDHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
515 STATE ROUTE 9 NE STE 104, LAKE STEVENS, WA 98258-8523
(425) 334-4016
(425) 334-4017
Mailing address
515 STATE ROUTE 9 NE STE 104, LAKE STEVENS, WA 98258-8523
(425) 334-4016
(425) 334-4017
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1315TX
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G8874110
MEDICARE PTAN
WA
Enumeration date
08/18/2005
Last updated
10/13/2008
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