Individual
DR. BRUCE DOUGLAS ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7903 W GRANDRIDGE BLVD # 1, KENNEWICK, WA 99336-7827
(509) 783-0667
(509) 735-7981
Mailing address
1020 KAMBETH CT, RICHLAND, WA 99352-7792
(509) 627-0562
(509) 735-7981
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3228
WA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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