Russell Poley

NPI #1245601509 in Henderson, Colorado

Provider Information

NPI Number
1245601509
Entity Type
Individual
Name
Russell Poley
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Enumeration Date
Oct 13, 2015
Last Updated
Oct 13, 2015

Practice Location

Address
7007 E 88TH AVE
Address 2
L-50
ZIP Code
80640-8214
Phone
(720) 940-6335

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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