SOUTHWEST RETINA RESEARCH CENTER LLC NPI 1962995787

NPI Information

SOUTHWEST RETINA RESEARCH CENTER, LLC is a retina specialist ophthalmology in Durango, CO. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. SOUTHWEST RETINA RESEARCH CENTER, LLC NPI is 1962995787. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southwest Retina Research Center.

The provider's business location address is:

270 E 8TH AVE STE N-101
DURANGO, CO
ZIP 81301-708
Phone: (970) 828-2200
Fax: (970) 828-2201

The provider's authorized official is Jennifer Batchelor .
The authorized official title is Practice Administrator and has the following contact phone number (970) 828-2200.

The CLIA number assigned to this NPI record is 06D2210449 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2018 and was last updated on 6/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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