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NPI Code Detail

MEDICARE: DEBRA H ROLFSON M.D.

MEDICARE:   DEBRA H ROLFSON  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician35557CO

General Provider Information

NPI Number : 1427039007
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA H ROLFSON M.D.
Provider Business Mailing Address
First Line : 6288 HOLMAN CT
Second Line :
City : ARVADA
State : CO
Zip : 80004-3617
Country : US
Telephone Number : 303-456-0367
Fax Number :
Provider Business Practice Location Address
First Line : 818 W SOUTH BOULDER RD
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-2412
Country : US
Telephone Number : 303-666-7337
Fax Number : 303-666-7379
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2005
Last Update Date : 07/08/2007

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