Mark Debolt

NPI # 

Practice Address:

1414 Main St

Canon City, CO, 81212-3906

Practice Phone:

719-275-7511

Practice Fax:

719-275-7161

License Number:

16607

License State:

CO

Taxonomy Grouping:

Pharmacy Service Providers

Taxonomy Classification:

Pharmacist

Taxonomy Code:

183500000X

Updated by NPPES on 10/30/2010. You can view the original data set for NPI # 1659671154 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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