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NPI Code Detail

MEDICARE: ROBERT JAMES OGAREK L.AC., DIPL.O.M.

MEDICARE: ROBERT JAMES OGAREK L.AC., DIPL.O.M.
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
1171100000XAcupuncturist1503CO

General Provider Information

NPI Number : 1861726911
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT JAMES OGAREK L.AC., DIPL.O.M.
Provider Business Mailing Address
First Line : 3535 W 44TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-1313
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3535 W 44TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-1313
Country : US
Telephone Number : 303-882-6169
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2009
Last Update Date : 09/22/2009

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