Organization
PONDEROSA VISION CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ALLEN BRYANT OD (OWNER)
(303) 693-9561
Entity
Organization
Contact information
Practice address
14991 E HAMPDEN AVE, SUITE 110, AURORA, CO 80014-3980
(303) 693-9561
(303) 693-0713
Mailing address
14991 E HAMPDEN AVE, SUITE 110, AURORA, CO 80014-3980
(303) 693-9561
(303) 693-0713
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35337RTSL
CO
Other
Enumeration date
09/21/2006
Last updated
06/05/2008
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