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Individual

DR. ALLEN KOICHI TOMOEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
6201 S AURORA PKWY, AURORA, CO 80016-5849
(303) 617-5620
(303) 617-5622
Mailing address
6201 S AURORA PKWY, AURORA, CO 80016-5849
(303) 617-5620
(303) 617-5622

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9993899
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08009383
CO
Enumeration date
12/01/2005
Last updated
07/17/2012
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