Individual
MELVIN VIGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 COUNTY ROAD 9 S, ALAMOSA, CO 81101-9121
(719) 589-2048
(719) 589-3600
Mailing address
4201 COUNTY ROAD 9 S, ALAMOSA, CO 81101-9121
(719) 589-2048
(719) 589-3600
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
1690
CO
171W00000X
Contractor
Primary
187446
CO
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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