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Individual

RICHARD E DAMIANO

Active
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Individual

RICHARD E DAMIANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
19386
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01193861
CO
01
180017420
RAILROAD MEDICARE
01
920682020788
BLOCK VISION EYE SPECIALI
01
DAB4508
BLUE CROSS BLUE SHIELD
Enumeration date
08/30/2005
Last updated
08/14/2018
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