Individual
ROBERT E. BALDWIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1451 N 200 E STE 195, LOGAN, UT 84341-7574
(435) 752-6110
(435) 752-1935
Mailing address
1451 N 200 E STE 195, LOGAN, UT 84341-7574
(435) 752-6110
(435) 752-1935
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
06-00959
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
990002180002
—
UT
Enumeration date
08/09/2006
Last updated
07/12/2013
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