DR. Robert G Shank, OD TMOD TPA

NPI #1467429969 in Emporia, Kansas

Provider Information

NPI Number: 1467429969
Entity Type: Individual
Name: DR. Robert G Shank, OD TMOD TPA
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: OD TMOD TPA
Enumeration Date: Mar 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 801 COMMERCIAL
City: Emporia
State: Kansas
ZIP Code: 66801
Phone: (620) 342-2109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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