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Individual

ROBERT EDWARD BROMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1150 LINCOLN AVE, EVANSVILLE, IN 47714-1071
(812) 477-3937
Mailing address
10144 BYRON CT, NEWBURGH, IN 47630-9350
(812) 490-0967

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001664A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
18001664A
INDIANA LICENSE
IN
01
18001664B
OLDPAC
IN
Enumeration date
06/27/2006
Last updated
07/31/2013
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