Frederick G. Downard, O.D., P.A.
Optometrist in Ammon, ID. Organization (NPI-2).
NPI number1710088331
StatusActive
Last updated in NPPESAug 19, 2010
Details
- NPI
- 1710088331
- Entity type
- Organization (NPI-2)
- Legal business name
- Frederick G. Downard, O.D., P.A.
- Organization subpart
- No
- Enumeration date
- Sep 26, 2006
- Last updated
- Aug 19, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 000354660 | ID | Yes |
Practice location
1990 Sabin DrAmmon, ID 83406
Phone 208-522-6933
Mailing address
1990 Sabin DrAmmon, ID 83406
Phone 208-522-6933
Authorized official
Frederick George Dowanrd
Owner / President
2085226933
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All 8 Optometrist providers in Ammon · All 580 providers in Ammon
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