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Organization

ALPINE EYE CLINIC OPTICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN G PETTY M.D. (OWNER)
(970) 565-8809
Entity
Organization

Contact information

Practice address
2423 E MAIN ST, SUITE 4, CORTEZ, CO 81321-4269
(970) 565-8809
(970) 565-8881
Mailing address
2423 E MAIN ST, SUITE 4, CORTEZ, CO 81321-4269
(970) 565-8809
(970) 565-8881

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
28-1598318
CO

Other

Enumeration date
02/02/2006
Last updated
10/25/2013
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