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Individual

DR. ROBERT WESLEY CREED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2424 SHASTA WAY, KLAMATH FALLS, OR 97601-4354
(541) 882-2812
(541) 882-5075
Mailing address
2424 SHASTA WAY, KLAMATH FALLS, OR 97601-4354
(541) 882-2812
(541) 882-5075

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1756ATI
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
034780
OR
Enumeration date
10/02/2006
Last updated
09/02/2008
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