Organization
JOSEPH GOWEN, O.D. AND ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GOWEN O.D. (OWNER)
(719) 502-5385
Entity
Organization
Contact information
Practice address
4420 N. FREEWAY RD., PUEBLO, CO 81008
(719) 296-6597
Mailing address
4420 N. FREEWAY RD., PUEBLO, CO 81008
(719) 296-6597
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2486
CO
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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