Individual
GLENN T MATOBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
14500 W COLFAX AVE, LAKEWOOD, CO 80401-3203
(303) 273-9953
(303) 273-9955
Mailing address
16581 W ELLSWORTH AVE, GOLDEN, CO 80401-6540
(303) 277-1349
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
9539
CA
152W00000X
Optometrist
Primary
CO1484
CO
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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