MEDICARE: CHRISTIAN M KORKIS MD 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	207V00000X	Obstetrics & Gynecology Physician	39554	CO

General Provider Information

NPI Number	:	1821127523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTIAN M KORKIS MD PC

Provider Business Mailing Address
First Line	:	6501 ENGH PL
Second Line	:
City	:	TIMNATH
State	:	CO
Zip	:	80547-2274
Country	:	US
Telephone Number	:	970-449-9129
Fax Number	:	623-505-0012

Provider Business Practice Location Address
First Line	:	6501 ENGH PL
Second Line	:
City	:	TIMNATH
State	:	CO
Zip	:	80547-2274
Country	:	US
Telephone Number	:	970-449-9129
Fax Number	:	623-505-0012

Authorized Official
Title or Position	:	PRESIDENT OF CORPORATION
Name	:	CHRISTIAN M KORKIS
Credential	:	MD
Telephone Number	:	970-449-9129

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	07/05/2012

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