MEDICARE: DENVER SPINE INSTITUTE PC

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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1710904495
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DENVER SPINE INSTITUTE PC

Provider Business Mailing Address
First Line	:	7259 W ALASKA DR
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-3228
Country	:	US
Telephone Number	:	303-456-4466
Fax Number	:	303-456-4561

Provider Business Practice Location Address
First Line	:	7259 W ALASKA DR
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-3228
Country	:	US
Telephone Number	:	303-456-4466
Fax Number	:	303-456-4561

Authorized Official
Title or Position	:	OWNER
Name	:	DR. EIPE KURUVILA
Credential	:	MD
Telephone Number	:	303-456-4466

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	11/13/2013

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