ROBERT L DORAZIO OD; NPI #1942471974

Contact Information

ROBERT L DORAZIO OD

225 NIZHONI BLVD
GALLUP, NM 87301-5792

Phone: 505-863-5747
Fax: 505-863-5101
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for ROBERT L DORAZIO OD

NPI # 1942471974

LBN Legal business name ROBERT L DORAZIO OD

Authorized official ROBERT DORAZIO - (OPTOMETRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/18/2008

Last updated 06/05/2008 - About 18 years ago

Identifiers

License #

328

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ROBERT L DORAZIO OD

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for ROBERT L DORAZIO OD

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