MEDICARE: PARKER POINT MEDICAL CENTER P.C.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	152W00000X	Optometrist
2	171R00000X	Interpreter
3	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1770153645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKER POINT MEDICAL CENTER P.C.

Provider Business Mailing Address
First Line	:	4098 S SABLE CIR
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-4170
Country	:	US
Telephone Number	:	720-436-7613
Fax Number	:	303-955-2397

Provider Business Practice Location Address
First Line	:	7950 E MISSISSIPPI AVE STE C
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-2151
Country	:	US
Telephone Number	:	720-436-7613
Fax Number	:	303-955-2397

Authorized Official
Title or Position	:	CEO
Name	:	JULIA A VOSKRESENSKAYA
Credential	:	MD
Telephone Number	:	720-436-7613

Provider Enumeration Date	:	07/01/2021
Last Update Date	:	07/01/2021

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Directions to “PARKER POINT MEDICAL CENTER P.C. ” Practice Location

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