SearchIdaho152W00000X

Daniel Iwasa, O.D

NPI 1750577219 · on the registry since 2007 · sole proprietor

Practice

Address
915 3rd Ave N
Payette, ID 83661
Phone
(208) 642-2151
Fax
(208) 642-7374

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-07-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho