DR WENDELL R FACKRELL PLLC

Optometrist

Active Organization
NPI: 1801171293

Practice Address

4145 YELLOWSTONE AVE
Chubbuck, ID 83202

Phone: (801) 722-5380

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes -

Frequently Asked Questions

NPI 1801171293 is the National Provider Identifier for DR WENDELL R FACKRELL PLLC, a Optometrist provider located in Chubbuck, ID. This NPI was enumerated on October 17, 2011.

Quick Facts

NPI
1801171293
Type
Organization
Enumerated
Oct 17, 2011
Last Updated
Oct 17, 2011

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