Individual
DR. JOHN JOSEPH BARDASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6460 E YALE AVE, STE. A20, DENVER, CO 80222-7156
(720) 316-7739
(720) 259-9360
Mailing address
6460 E YALE AVE, STE. A20, DENVER, CO 80222-7156
(720) 316-7739
(720) 259-9360
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2635
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA109315
INDIVIDUAL PTAN
CO
Enumeration date
01/15/2008
Last updated
03/13/2013
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