Individual
JOSHUA PAUL HEERSINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
101 CHICO CT UNIT B, MONTE VISTA, CO 81144-1068
(719) 852-3412
Mailing address
101 CHICO CT UNIT B, MONTE VISTA, CO 81144-1068
(719) 852-3412
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0003400
CO
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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