Individual
DR. ROBERT A GRACEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
110 SHEEP SPRINGS, JEMEZ PUEBLO, NM 87024-0279
(575) 834-7413
(575) 834-3022
Mailing address
PO BOX 279, JEMEZ PUEBLO, NM 87024-0279
(758) 347-4135
(758) 343-0225
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3471TG
TX
Other
Enumeration date
08/22/2005
Last updated
06/23/2020
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