DR. Rodger Dean Robertson, O.D.

NPI #1265503320 in Moscow, Idaho

Provider Information

NPI Number: 1265503320
Entity Type: Individual
Name: DR. Rodger Dean Robertson, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 12, 2006
Last Updated: Jan 13, 2012

Practice Location

Address: 213 N MAIN ST
City: Moscow
State: Idaho
ZIP Code: 83843-2700
Phone: (208) 882-2932

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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