Robert G Goodrich Od Pc

NPI 1154566149 - Optometrist - 152W00000X

NPI Details
NPI 1154566149
Enumeration Date 12/05/2008
Last Updated 12/05/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name ROBERT G ROBERT
Position OWNER
Phone (605) 642-2645
Fax (605) 642-8345
Practice Location
830 N MAIN ST
SUITE 1
SPEARFISH SD, 57783-2185, US
Phone (605) 642-2645
Fax (605) 642-8345
Business Location
830 N MAIN ST
SUITE 1
SPEARFISH SD, 57783-2185, US
Phone (605) 642-2645
Fax (605) 642-8345
Toxanomy
Taxonomy Code 152W00000X
License State South Dakota
License Number 120
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According to our database, Robert G Goodrich Od Pc NPI is 1154566149, taxonomy code is 152W00000X and license number is 120, license state is located at South Dakota. Robert G Goodrich Od Pc physically located at 830 N Main St, Spearfish SD, 57783-2185. NPI Number 1033115704 has the healthcare provider type.

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1154566149 NPI number is provided on an as is basis without warranty of any kind. 1154566149 is maintained by the National Plan & Provider Enumeration System. The contents of Robert G Goodrich Od Pc are for informational purposes only.