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Organization

MARC A PROVENCHER

Active
Other names
Eyecare for You
Organization subpart
No

Provider details

NPI number
Authorized official
MARC A PROVENCHER OD (DOCTOR/OWNER)
(970) 282-8888
Entity
Organization

Contact information

Practice address
4050 TIMBERLINE RD, SUITE 120, FORT COLLINS, CO 80525-6032
(970) 282-8888
(970) 282-8484
Mailing address
4050 TIMBERLINE RD, SUITE 120, FORT COLLINS, CO 80525-6032
(970) 282-8888
(970) 282-8484

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2025
CO

Other

Enumeration date
12/26/2007
Last updated
01/12/2010
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