| NPI | 1225162134 |
|---|---|
| Doing Business As | PARK AVENUE OCULOPLASTIC SURGEONS |
| Entity Type | Organization |
| Authorized Contact | KATIE J DUBLER Office Manager 303-468-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 27698) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-05-22 |