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Individual

DR. ROBERT MCCAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3402 13TH AVE S SUITE D, FARGO, ND 58103
(701) 234-0939
(701) 234-9442
Mailing address
2402 34TH AVE S, FARGO, ND 58104-6501
(701) 234-0939

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
348
MN
152W00000X
Optometrist
Primary
422
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14243
BS OF ND
ND
Enumeration date
01/31/2007
Last updated
07/08/2007
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