OWEN SHIRTS

Dr OWEN SHIRTS is a male medical professional, specializing in Optometry. He graduated in 1984 from Southern College Of Optometry.

Contact

838 S WOODRUFF AVE
IDAHO FALLS
ID
834015296

Tel: 2085233937

OWEN SHIRTS Information

Npi 1477612273
Pac Id 6901925890
Professional Enrollment Id I20120321000901
Last Name SHIRTS
First Name OWEN
Middle Name
Suffix
Gender M
Credential
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 1984
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 838 S WOODRUFF AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City IDAHO FALLS
State ID
Zip Code 834015296
Phone Number 2085233937
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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