Individual
WARREN J ROREBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5150 JOURNAL CENTER BLVD NE, ALBUQUERQUE, NM 87109
(505) 262-3937
(505) 262-3366
Mailing address
PO BOX 27829, ALBUQUERQUE, NM 87125
(505) 232-1920
(505) 727-9276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
414
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P1712
—
NM
Enumeration date
07/08/2006
Last updated
10/04/2011
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