KATHERINE MICHELE BAUGHMAN GLEASON OD, FAAO
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1720227010- Provider Type
- Individual Provider (NPI-1)
- Credentials
- OD, FAAO
- Status
- Active
Contact & Location
- Address
- 8378 N GOVERNMENT WAY, HAYDEN, ID, 838359258
- Phone
- (208) 209-7100
- Fax
- (208) 209-7911
Specialties & Taxonomies
Optometrist
License: ID #100170
Optometrist
Primary License: ID #ODP-100170