WALLACE L CHRISTENSEN OD

Dr WALLACE L CHRISTENSEN OD is a male medical professional, specializing in Optometry. He graduated in 1981 from Pacific University - College Of Optometry.

Contact

1246 YELLOWSTONE AVE
SUITE A4
POCATELLO
ID
832014372

Tel:

WALLACE L CHRISTENSEN OD Information

Npi 1760435143
Pac Id 0749279032
Professional Enrollment Id I20040511001083
Last Name CHRISTENSEN
First Name WALLACE
Middle Name L
Suffix
Gender M
Credential OD
Medical School Name PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 1981
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 1246 YELLOWSTONE AVE
Line 2 Street Address SUITE A4
Marker Of Address Line 2 Suppression
City POCATELLO
State ID
Zip Code 832014372
Phone Number
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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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