Robert E. Baldwin

NPI #1356516801 in Logan, Utah

Provider Information

NPI Number: 1356516801
Entity Type: Organization
Organization Name: Robert E. Baldwin
Primary Specialty: Optometrist
Enumeration Date: Apr 25, 2008
Last Updated: Nov 18, 2008

Practice Location

Address: 1097 N MAIN ST
City: Logan
State: Utah
ZIP Code: 84341-2215
Phone: (435) 752-6110

Authorized Official

Name: MR. ROBERT E. BALDWIN
Title: OWNER
Phone: (435) 752-6110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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