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Individual

DR. MARK A SLOSAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OPTOMETRIST

Contact information

Practice address
720 S COLORADO BLVD STE 140A, DENVER, CO 80246-1916
(303) 607-0174
Mailing address
10608 CLARKEVILLE WAY, PARKER, CO 80134-9146
(949) 310-9926

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2837
CO
152W00000X
Optometrist
6809T
CA
152W00000X
Optometrist
7351T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1063727790
ORGANIZATIONAL NPI
Enumeration date
11/01/2006
Last updated
05/04/2018
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