Organization
DANIEL GIOVAGNOLI, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GIOVAGNOLI (PRESIDENT)
(970) 328-0365
Entity
Organization
Contact information
Practice address
201 GOLDEN EAGLE, UNIT A2, EAGLE, CO 81631-4405
(970) 328-0365
Mailing address
PO BOX 4405, EAGLE, CO 81631-4405
(970) 328-0365
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CO 1437
CO
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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