Individual
DR. ROBERT T. SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5601 NE ANTIOCH RD, KANSAS CITY, MO 64119-2302
(816) 453-7044
(913) 677-2477
Mailing address
8857 W 75TH ST, OVERLAND PARK, KS 66204-2206
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02184
MO
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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