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Pediatric Eyecare Of Western Colorado, PC

Clinic/Center in Grand Junction, CO. Organization (NPI-2).

NPI number1992912430
StatusActive
Last updated in NPPESAug 20, 2007

Details

NPI
1992912430
Entity type
Organization (NPI-2)
Legal business name
Pediatric Eyecare Of Western Colorado, PC
Organization subpart
No
Enumeration date
May 16, 2007
Last updated
Aug 20, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

3150 N 12th St
Second Floor
Grand Junction, CO 81506-2863

Phone 970-270-0891

Mailing address

Po Box 10700
Grand Junction, CO 81502-5517

Authorized official

Deborah S Lenahan
President
9702700891

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