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Individual

DR. ROBERT L DORAZIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
225 NIZHONI BLVD, GALLUP, NM 87301
(505) 863-5747
(505) 863-5101
Mailing address
225 NIZHONI BLVD, GALLUP, NM 87301
(505) 863-5747
(505) 863-5101

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
2328
NM
332H00000X
Eyewear Supplier
Primary
2328
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
P0987
NM
Enumeration date
08/28/2006
Last updated
09/11/2025
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