Individual
DR. MATTHEW E LIKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5755 CONSTITUTION AVE, COLORADO SPRINGS, CO 80915-1220
(719) 591-9929
Mailing address
5755 CONSTITUTION AVE, COLORADO SPRINGS, CO 80915-1220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18916
CO
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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