Individual
MARK JOHN WELTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4102 PINION DR, U S A F ACADEMY, CO 80840-2502
(719) 333-7921
Mailing address
919 TARI DR, COLORADO SPRINGS, CO 80921-2256
(719) 484-0241
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3105
TX
Other
Enumeration date
01/06/2006
Last updated
07/08/2007
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