Individual
DR. ROBERT LEE JARRELL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1646 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114-8807
(505) 792-3500
(505) 792-3501
Mailing address
1646 ALAMEDA BLVD NW, ALBUQUERQUE, NM 87114-8807
(505) 792-3500
(505) 792-3501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
539
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76734757
—
NM
Enumeration date
11/17/2006
Last updated
07/08/2007
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