-- IVAN RUSSELL WHETTEN -- O.D.
Individual Provider (NPI-1)
Active
Optometrist
Provider Information
- NPI Number
1780069401- Provider Type
- Individual Provider (NPI-1)
- Credentials
- O.D.
- Status
- Active
Contact & Location
- Address
- 2624 COMMERCIAL WAY STE B, ROCK SPRINGS, WY, 829014769
- Phone
- (307) 382-3753
Specialties & Taxonomies
Optometrist
Primary License: WY #400T