Organization
SPRINGS VISION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNIFER DIANE TATUM (ACCOUNTS MANAGER)
(970) 945-5444
Entity
Organization
Contact information
Practice address
1316 GRAND AVE, GLENWOOD SPRINGS, CO 81601-3871
(970) 945-5444
(970) 945-6070
Mailing address
1316 GRAND AVE, GLENWOOD SPRINGS, CO 81601-3871
(970) 945-5444
(970) 945-6070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01274653
—
CO
Enumeration date
12/15/2011
Last updated
12/15/2011
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