Search › Idaho › 152W00000X
Damon Mortensen, OD
NPI 1760619365 · on the registry since 2009
Practice
- Address
- 49 E 1st S
Rexburg, ID 83440 - Phone
- (208) 356-4444
- Fax
- (208) 356-4445
- Organisation at this address
- Rexburg Vision Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
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
- 2009-06-22
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