Colorado
Division of Professions and Occupations
Dean Roy Marietta
Medical - Physician
License number
37373
Date granted
09/17/1998
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
5117 RIDGEVIEW RD, RAPID CITY, SD, 57701-9224
coloradolicensing.org
ID 27420386
LAST UPDATED 2024-03-06 00:39:08 UTC
LAST UPDATED 2024-03-06 00:39:08 UTC
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