| Paul Bigelow Od Pc | |
|
415 E Parkcenter Blvd, Suite 127, Boise, ID 83706-6504 | |
| (208) 342-4841 | |
| Not Available |
| Full Name | Paul Bigelow Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 415 E Parkcenter Blvd, Boise, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326239534 | NPI | - | NPPES |
| DG1593 | Other | ID | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP-577 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Bigelow Od Pc 415 E Parkcenter Blvd, Suite 127, Boise, ID 83706-6504 Ph: (208) 342-4841 | Paul Bigelow Od Pc 415 E Parkcenter Blvd, Suite 127, Boise, ID 83706-6504 Ph: (208) 342-4841 |
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