DOUGLAS GUSHWA, OD

Optometrist

Active Individual
NPI: 1629063284

Practice Address

1155 POCATELLO CREEK RD
Pocatello, ID 83201

Phone: (208) 233-2020

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 0562 (ID)

Frequently Asked Questions

NPI 1629063284 is the National Provider Identifier for DOUGLAS GUSHWA, OD, a Optometrist provider located in Pocatello, ID. This NPI was enumerated on September 20, 2005.
DOUGLAS GUSHWA, OD practices at 1155 POCATELLO CREEK RD, Pocatello, ID 83201.

Quick Facts

NPI
1629063284
Type
Individual
Enumerated
Sep 20, 2005
Last Updated
Apr 13, 2011

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