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Individual

DR. JERALD ARTHUR BOVINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
804 HUNTER CREEK ROAD, ASPEN, CO 81611
(970) 925-9095
(970) 544-5838
Mailing address
PO BOX 4395, ASPEN, CO 81612-4395
(970) 925-9095
(970) 544-5838

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35,042988
CO

Other

Enumeration date
04/11/2012
Last updated
04/11/2012
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