Individual
THOMAS E DIVEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.B.O.C.
Contact information
Practice address
720 GRAND AVE, GLENWOOD SPRINGS, CO 81601-3480
(970) 274-4737
Mailing address
720 GRAND AVE, GLENWOOD SPRINGS, CO 81601-3480
(970) 274-4737
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
039493
CO
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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