Robert Dewey Blase, OD

NPI #1477513612 in Wyoming, Pennsylvania

Provider Information

NPI Number: 1477513612
Entity Type: Individual
Name: Robert Dewey Blase, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Mar 23, 2006
Last Updated: Feb 21, 2014

Practice Location

Address: 155 WYOMING AVE
City: Wyoming
State: Pennsylvania
ZIP Code: 18644-1708
Phone: (570) 693-1578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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