Roger Marvin Allyn O.D.

NPI 1093979874 - Optometrist - 152W00000X

NPI Details
NPI 1093979874
Gender Male
Enumeration Date 07/11/2008
Last Updated 07/11/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1170 HWY 170
LA PLATA NM, 87418-0269, US
Phone (505) 325-2472
Fax
Business Location
PO BOX 269
LA PLATA NM, 87418-0269, US
Phone (505) 325-2472
Fax
Toxanomy
Taxonomy Code 152W00000X
License State New Mexico
License Number 2219 OP
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According to our database, Dr. Roger Marvin Allyn O.D. NPI is 1093979874, taxonomy code is 152W00000X and license number is 2219 OP, license state is located at New Mexico. Roger Marvin Allyn O.D. physically located at 1170 Hwy 170, La Plata NM, 87418-0269. NPI Number Roger Marvin Allyn O.D. has the Individual type.

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1093979874 NPI number is provided on an as is basis without warranty of any kind. 1093979874 is maintained by the National Plan & Provider Enumeration System. The contents of Roger Marvin Allyn O.D. are for informational purposes only.