Individual
MR. JOHN W COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3650 E 15TH ST, LOVELAND, CO 80538-8701
(970) 669-1107
(970) 669-8849
Mailing address
3650 E 15TH ST, LOVELAND, CO 80538-8701
(970) 669-1107
(970) 669-8849
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
99143599
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8014359
—
CO
01
—
905025020761
EYE SPECIALISTS
CO
Enumeration date
08/12/2005
Last updated
04/23/2008
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