Individual
DR. ROGER J TRUDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
412 MAIN ST, LONGMONT, CO 80501-5535
(303) 651-6700
Mailing address
2565 TAMARACK AVE, BOULDER, CO 80304-0990
(303) 443-4093
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1188
CO
Other
Enumeration date
12/21/2006
Last updated
05/09/2018
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