Bobby G Painter Od

NPI #1003095662 in Farmington, New Mexico

Provider Information

NPI Number: 1003095662
Entity Type: Organization
Organization Name: Bobby G Painter Od
Primary Specialty: Optometrist
Enumeration Date: Oct 31, 2007
Last Updated: Dec 14, 2007

Practice Location

Address: 3280 N BUTLER AVE
City: Farmington
State: New Mexico
ZIP Code: 87401-2360
Phone: (505) 325-2015

Authorized Official

Name: BOBBY G. PAINTER, OD
Title: OWNER/OPTOMETRIST
Phone: (505) 325-2015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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