Individual
RONALD J FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10001 N WASHINGTON ST, THORNTON, CO 80229-2050
(303) 451-8075
(303) 457-9859
Mailing address
4 GARDEN CTR, BROOMFIELD, CO 80020-7026
(303) 469-1941
(303) 469-6634
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
717
CO
Other
Enumeration date
06/30/2006
Last updated
10/11/2007
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