Individual
ROBERT LEE HOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1854 DELL RANGE BLVD, CHEYENNE, WY 82009-4949
(307) 638-6610
Mailing address
1854 DELL RANGE BLVD, CHEYENNE, WY 82009-4949
(307) 638-6610
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
162T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106911000
—
WY
Enumeration date
10/03/2006
Last updated
01/15/2020
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