NPI 1679178552

Trevor Delphous

Practitioner Optician Moscow, ID

Practice location

Address: 641 N Hayes St, Moscow, ID 83843-3238
Phone: (208) 596-8988

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Idaho →

Registry record

NPI: 1679178552
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2020
Record last updated: 8 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.