Individual
GARRETT WAYNE ROTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2485 E PIKES PEAK AVE, COLORADO SPRINGS, CO 80909-6004
(719) 634-2001
(719) 634-2211
Mailing address
1000 S BROADWAY APT 237, DENVER, CO 80209-4095
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
DR.0067795
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/14/2018
Last updated
05/24/2022
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