Organization
DR. THOMAS H. ROBERTSON LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS POWELL FISHER JR. (MANAGER)
(804) 862-9673
Entity
Organization
Contact information
Practice address
1980 S SYCAMORE ST, PETERSBURG, VA 23805-2729
(804) 862-9673
Mailing address
1980 S SYCAMORE ST, PETERSBURG, VA 23805-2729
(804) 862-9673
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0601000214
VA
Other
Enumeration date
12/17/2009
Last updated
12/17/2009
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