Robert B Grill OD

NPI 1639280951 - Optometrist - 152W00000X

NPI Details
NPI 1639280951
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/27/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
844 SHOSHONE ST E
TWIN FALLS ID, 83301-6336, US
Phone (208) 734-9800
Fax (208) 734-9433
Business Location
844 SHOSHONE ST E
TWIN FALLS ID, 83301-6336, US
Phone (208) 734-9800
Fax (208) 734-9433
Toxanomy
Taxonomy Code 152W00000X
License State Idaho
License Number ODP0628
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According to our database, Robert B Grill OD NPI is 1639280951, taxonomy code is 152W00000X and license number is ODP0628, license state is located at Idaho. Robert B Grill OD physically located at 844 Shoshone St E, Twin Falls ID, 83301-6336. NPI Number Robert B Grill OD has the Individual type.

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1639280951 NPI number is provided on an as is basis without warranty of any kind. 1639280951 is maintained by the National Plan & Provider Enumeration System. The contents of Robert B Grill OD are for informational purposes only.