TIMOTHY SCOTT GIBBONS O.D.
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1134416787- Provider Type
- Individual Provider (NPI-1)
- Credentials
- O.D.
- Status
- Active
Contact & Location
- Address
- 310 2ND ST S, NAMPA, ID, 836513765
- Phone
- (208) 467-1361
- Fax
- (208) 467-9008
Specialties & Taxonomies
Optometrist
License: TN #2999
Optometrist
License: NV #727
Optometrist
Primary License: ID #ODP-100526