AMMON JOEL VATERLAUS OD
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1477487346- Provider Type
- Individual Provider (NPI-1)
- Credentials
- OD
- Status
- Active
Contact & Location
- Address
- 4191 POLELINE RD STE C, POCATELLO, ID, 832022402
- Phone
- (208) 239-7927
Specialties & Taxonomies
Optometrist
Primary License: ID #6581915