Individual
DR. JAMES CLYDE BOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2776 E MAIN ST, CANON CITY, CO 81212-4010
(719) 275-1523
Mailing address
29 EAGLE CREST DR, CANON CITY, CO 81212-9679
(719) 275-3840
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
894
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08008948
—
CO
Enumeration date
05/16/2006
Last updated
03/07/2023
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