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Organization

ALPINE EYE CLINIC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN G PETTY MD (OWNER)
(970) 565-8809
Entity
Organization

Contact information

Practice address
2423 E MAIN ST, STE 4, CORTEZ, CO 81321
(970) 565-8809
(970) 565-8881
Mailing address
2423 E MAIN ST, STE 4, CORTEZ, CO 81321
(970) 565-8809
(970) 565-8881

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35259
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01352590
CO
Enumeration date
02/10/2006
Last updated
06/25/2013
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