Dr. Craig Matthew Marley, o.d.
Optometrist in Boise, ID. Individual provider (NPI-1).
NPI number1720189608
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1720189608
- Entity type
- Individual (NPI-1)
- Name
- Dr. Craig Matthew Marley
- Credential
- o.d.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0-506 | ID | Yes |
Practice location
7319 W State StBoise, ID 83714-6051
Phone 120-885-3478 · Fax 120-885-3478
Mailing address
7654 Madden DrNampa, ID 83686-9425
Phone 120-846-5658
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