Thomas Jay Marquardt, OD

NPI #1114114592 in Granby, Colorado

Provider Information

NPI Number: 1114114592
Entity Type: Individual
Name: Thomas Jay Marquardt, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Sep 28, 2007
Last Updated: Sep 28, 2007

Practice Location

Address: 60 NORTH THIRD STREET
City: Granby
State: Colorado
ZIP Code: 80446-0090
Phone: (970) 887-2459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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