Individual
STANLEY W ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
RR 2 BOX 524-E, PRINCETON, WV 24740-9627
(304) 487-3787
Mailing address
RR 2 BOX 524-E, PRINCETON, WV 24740-9627
(304) 487-3787
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
584D
WV
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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