Individual
ROBERT P BREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1303 N 25TH ST, BETHANY, MO 64424-1509
(660) 425-2317
(660) 425-2317
Mailing address
1303 N 25TH ST, BETHANY, MO 64424-1509
(660) 425-2317
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/06/2007
Last updated
01/23/2008
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