George Walter Hertneky O.D.

NPI 1053301861 - Optometrist - 152W00000X

NPI Details
NPI 1053301861
Gender Male
Enumeration Date 10/24/2005
Last Updated 04/18/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
212 CAMERON ST
BRUSH CO, 80723-2015, US
Phone (970) 842-5166
Fax (970) 842-5167
Business Location
212 CAMERON ST
BRUSH CO, 80723-2015, US
Phone (970) 842-5166
Fax (970) 842-5167
Toxanomy
Taxonomy Code 152W00000X
License State Colorado
License Number OPT1893
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According to our database, Dr. George Walter Hertneky O.D. NPI is 1053301861, taxonomy code is 152W00000X and license number is OPT1893, license state is located at Colorado. George Walter Hertneky O.D. physically located at 212 Cameron St, Brush CO, 80723-2015. NPI Number George Walter Hertneky O.D. has the Individual type.

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1053301861 NPI number is provided on an as is basis without warranty of any kind. 1053301861 is maintained by the National Plan & Provider Enumeration System. The contents of George Walter Hertneky O.D. are for informational purposes only.