Robert L Dorazio Od

NPI #1942471974 in Gallup, New Mexico

Provider Information

NPI Number: 1942471974
Entity Type: Organization
Organization Name: Robert L Dorazio Od
Primary Specialty: Eyewear Supplier
Enumeration Date: Mar 18, 2008
Last Updated: Jun 5, 2008

Practice Location

Address: 225 NIZHONI BLVD
City: Gallup
State: New Mexico
ZIP Code: 87301-5792
Phone: (505) 863-5747

Authorized Official

Name: ROBERT L DORAZIO, OD
Title: OPTOMETRIST
Phone: (505) 863-5747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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