DR. Robert A Carlson JR., OD

NPI #1871567198 in Eagle Butte, South Dakota

Provider Information

NPI Number: 1871567198
Entity Type: Individual
Name: DR. Robert A Carlson JR., OD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Feb 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: IHS OPTOMETRY CLINIC
Address 2: 317 MAIN STREET
City: Eagle Butte
State: South Dakota
ZIP Code: 57625
Phone: (605) 964-3008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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