Organization
CHESTER T ROE III MD L L C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHESTER T ROE III M.D. (OWNER)
(303) 758-5477
Entity
Organization
Contact information
Practice address
4999 E KENTUCKY AVE, SUITE 203, DENVER, CO 80246-2281
(303) 758-5477
(303) 758-3069
Mailing address
4999 E KENTUCKY AVE, SUITE 203, DENVER, CO 80246-3901
(303) 758-5477
(303) 758-3069
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1145
CO
207W00000X
Ophthalmology Physician
Primary
24061
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18689540
—
CO
Enumeration date
07/25/2007
Last updated
11/03/2011
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