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Organization

COCO EYE SURGERY BOULDER, PLLC

Active
Other names
Pearl Street Eye
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLIE VAN GOETZ (MANAGING DIRECTOR)
(414) 531-6073
Entity
Organization

Contact information

Practice address
2575 PEARL ST STE 1C, BOULDER, CO 80302-3851
(303) 442-6260
Mailing address
2575 PEARL ST STE 1C, BOULDER, CO 80302-3851
(303) 442-6260

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
11/15/2019
Last updated
11/15/2019
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