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Robert E. Baldwin
Optician in Logan, Utah
NPI 1922018886

Robert E. Baldwin is a Optician based in Logan, UT and is specialized in Optician. Robert E. Baldwin practices in Logan, UT. The NPI Number for Robert E. Baldwin is 1922018886 and holds a License No. 06-00959 (Utah).

The current practice location address for Robert E. Baldwin is 1451 N 200 E Ste 195, Logan, UT and can be reached out via phone at 435-752-6110 and via fax at 435-752-1935.

Location: 1451 N 200 E Ste 195, Logan, UT, 84341-7574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922018886
Provider Name
Robert E. Baldwin
Credential
Provider Entity Type
Individual
Gender
Male
Address
1451 N 200 E Ste 195, Logan, UT, 84341-7574
Phone Number
435-752-6110
Fax Number
435-752-1935
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
990002180002 05 UT
institution
Provider Business Practice Location Address Details
Address
1451 N 200 E Ste 195
City
Logan
State
Utah
Zip
84341-7574
Phone Number
435-752-6110
Fax Number
435-752-1935
person
Provider Business Mailing Address Details
Address
1451 N 200 E Ste 195
City
Logan
State
Utah
Zip
84341-7574
Phone Number
435-752-6110
Fax Number
435-752-1935
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
06-00959 (Utah)
Definition
Definition to come...
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