Individual
MR. ROBERT SOUDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1887 ELMIRA ST, SAYRE, PA 18840-9249
(607) 249-0942
(570) 888-0713
Mailing address
5414 SHESHEQUIN RD, ULSTER, PA 18850-8328
(570) 249-0942
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
252660
PA
Other
Enumeration date
08/07/2023
Last updated
08/09/2023
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