Organization
PIERRE ANCTIL. OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PIERRE J ANCTIL OD (DOCTOR/OWNER)
(719) 632-3561
Entity
Organization
Contact information
Practice address
1625 E PLATTE AVE, COLORADO SPRINGS, CO 80909-5620
(719) 632-3561
(719) 633-0284
Mailing address
1625 E PLATTE AVE, COLORADO SPRINGS, CO 80909-5620
(719) 632-3561
(719) 633-0284
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1113
CO
152WC0802X
Corneal and Contact Management Optometrist
OPT1113
CO
Other
Enumeration date
08/10/2012
Last updated
12/19/2014
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