Individual
DR. MARCELO ADRIAN SALDIVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
326 DOZIER AVE, CANON CITY, CO 81212-2706
(719) 276-0344
(719) 269-7446
Mailing address
1725 E PROSPECT ROAD, FORT COLLINS, CO 80525-1307
(970) 221-2222
(970) 221-2223
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2502
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2622905
CIGNA
CO
05
—
28402065
—
CO
01
—
P00412475
RAIL ROAD MEDICARE PTAN
CO
Enumeration date
05/17/2006
Last updated
02/28/2022
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