Individual
DR. BURTON CHARLES BLAUROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
42452 BOB HOPE DR, SUITE 1, RANCHO MIRAGE, CA 92270-4470
(760) 340-4524
(760) 340-4796
Mailing address
42452 BOB HOPE DR, SUITE 1, RANCHO MIRAGE, CA 92270-4470
(760) 340-4524
(760) 340-4796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5996T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0059960
—
CA
Enumeration date
09/01/2005
Last updated
10/13/2016
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