Individual
MARI HIRATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
545 SOUTH BROADWAY #500, DENVER, CO 80209
(720) 570-4338
(720) 570-3662
Mailing address
11103 WEST AVENUE, STE 6, SAN ANTONIO, TX 78213
(210) 524-6803
(210) 524-6663
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1358
CO
Other
Enumeration date
10/17/2006
Last updated
07/09/2007
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