GIDEON BENDER
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1386166312- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 355 S EAGLE RD, EAGLE, ID, 836165912
- Phone
- (208) 938-2015
Specialties & Taxonomies
Optometrist
Primary License: ID #ODP-100410
All Addresses
MAILING
355 S EAGLE RD
EAGLE, ID, 836165912