RUSSELL R GIST OD PC

Optometrist

Active Organization
NPI: 1700831492

Practice Address

1810 SW WHITE BIRCH CIR
SUITE 109
Ankeny, IA 50023

Phone: (515) 965-8488

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes -

Frequently Asked Questions

NPI 1700831492 is the National Provider Identifier for RUSSELL R GIST OD PC, a Optometrist provider located in Ankeny, IA. This NPI was enumerated on May 23, 2006.

Quick Facts

NPI
1700831492
Type
Organization
Enumerated
May 23, 2006
Last Updated
Nov 15, 2007

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