Individual
BOBBY G PAINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3280 N BUTLER AVE, FARMINGTON, NM 87401-2360
(505) 325-2015
(505) 327-9877
Mailing address
3280 N BUTLER AVE, FARMINGTON, NM 87401-2360
(505) 325-2015
(505) 327-9877
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
297
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P2280
—
NM
Enumeration date
01/08/2007
Last updated
02/06/2015
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