Individual
DR. JUSTIN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
77 WAINWRIGHT DR, WALLA WALLA, WA 99362-3975
(509) 525-5200
Mailing address
623 ATWELLS AVE, PROVIDENCE, RI 02909-7403
(401) 273-7100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100450
ID
Other
Enumeration date
08/06/2018
Last updated
01/11/2021
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