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Individual

DR. CHARLES K VOJTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
12502 ROAD 38, MANCOS, CO 81328-7930
(970) 769-2458
Mailing address
12502 ROAD 38, MANCOS, CO 81328-7930
(970) 769-2458

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2859
CO
152W00000X
Optometrist
355
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1618291
AK
05
36475556
CO
Enumeration date
06/22/2011
Last updated
07/21/2022
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