Individual
DENNIS LLOYD COLSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 377-1310
Mailing address
3024 N FALSTAFF PL, EAGLE, ID 83616-2300
(208) 938-4163
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP 698
ID
Other
Enumeration date
03/26/2006
Last updated
07/08/2007
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