Individual
JON CHRISTOPHER VIVOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 565-6666
Mailing address
UNIVERSITY OF KY EMERGENCY MED 800 ROSE ST RM M-53, LEXINGTON, KY 40536-0298
(859) 323-2300
(859) 323-5268
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0064474
CO
207P00000X
Emergency Medicine Physician
R3653
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2014
Last updated
07/27/2023
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