Dr Robert L Dorazio, OD | |
225 Nizhoni Blvd, Gallup, NM 87301 | |
(505) 863-5747 | |
(505) 863-5101 |
Full Name | Dr Robert L Dorazio |
---|---|
Gender | Male |
Speciality | Eyewear Supplier |
Location | 225 Nizhoni Blvd, Gallup, New Mexico |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700994944 | NPI | - | NPPES |
P0987 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2328 (New Mexico) | Primary |
332H00000X | Eyewear Supplier | 2328 (New Mexico) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Robert L Dorazio, OD 225 Nizhoni Blvd, Gallup, NM 87301 Ph: (505) 863-5747 | Dr Robert L Dorazio, OD 225 Nizhoni Blvd, Gallup, NM 87301 Ph: (505) 863-5747 |
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