Individual
SPENCER ALLEN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
65 N TAYLOR ST, FALLON, NV 89406-2750
(775) 423-8024
Mailing address
4989 RIVERS EDGE DR, FALLON, NV 89406-1202
(775) 427-6774
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1195
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250031640
—
NV
Enumeration date
03/18/2024
Last updated
08/19/2024
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