NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1497732622 | MCCLARY | MARK | EUGENE |   | 1631 WETZEL AVE, BLDG 815, ATTN: MCDS-BE | FORT CARSON | CO | 80913 |
1023076577 | PAVEK | DALE | L |   | USA DENTAC, 1631 WETZEL BLVD | FORT CARSON | CO | 80913 |