Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 1974 | CO |
NPI | 1124094164 |
---|---|
Provider Name | Dr. Douglas Kory Swindell |
First Address | Thornton, CO 80233-5731 |
Second Address | Thornton, CO 80233-5731 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 14/05/2008 |