MEDICARE: SONYA RIFFEL

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
1	174400000X	Specialist
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1689035362
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONYA RIFFEL

Provider Business Mailing Address
First Line	:	20971 E SMOKY HILL RD STE 204
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80015-5187
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20971 E SMOKY HILL RD STE 204
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80015-5187
Country	:	US
Telephone Number	:	303-949-6879
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2016
Last Update Date	:	08/14/2023

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Directions to “ SONYA RIFFEL ” Practice Location

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