Individual
BOB GENE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
960 A S MOUNT OLIVE ST, SILOAM SPRINGS, AR 72761-0188
(479) 524-5161
(479) 524-8046
Mailing address
960 A S MOUNT OLIVE ST, P.O. BOX 188, SILOAM SPRINGS, AR 72761-0188
(479) 524-5161
(479) 524-8046
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2165
AR
Other
Enumeration date
06/12/2006
Last updated
08/13/2008
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