Organization
ROBERT RATZLAFF OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT RATZLAFF O.D. (PRESIDENT/MANAGER)
(505) 758-3215
Entity
Organization
Contact information
Practice address
1128-A PASEO DEL PUEBLO SUR, 7653 NDCBU, TAOS, NM 87571
(505) 758-3215
(505) 751-9280
Mailing address
1128-A PASEO DEL PUEBLO SUR, 7653 NDCBU, TAOS, NM 87571
(505) 758-3215
(505) 751-9280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
474
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P7205
—
NM
Enumeration date
11/01/2006
Last updated
08/22/2020
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