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Individual

DR. ROBERT ADAM BARCLAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000631
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07624384
PA
01
25-1661044
PARTNERSHIP TAX ID
PA
Enumeration date
11/04/2005
Last updated
01/26/2010
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