Individual
JON STEVEN ATWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1414 MAIN ST, CANON CITY, CO 81212-3906
(719) 275-7511
(719) 275-7161
Mailing address
1414 MAIN ST, CANON CITY, CO 81212-3906
(719) 275-7511
(719) 275-7161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12742
CO
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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