ALEXANDER DURRANT
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1174269476- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1605 BLUE LAKES BLVD N STE A, TWIN FALLS, ID, 833013322
- Phone
- (208) 417-1020
Specialties & Taxonomies
Optometrist
Primary License: ID #ODP-100573
Student in an Organized Health Care Education/Training Program