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NPI Code Detail

MEDICARE: EVELYN OWUSU MA

MEDICARE:   EVELYN  OWUSU  MA
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1942552021
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN OWUSU MA
Provider Business Mailing Address
First Line : 1925 S YORK ST
Second Line : #101
City : DENVER
State : CO
Zip : 80210-4245
Country : US
Telephone Number : 303-504-7820
Fax Number :
Provider Business Practice Location Address
First Line : 1925 S. YORK ST
Second Line : #101
City : DENVER
State : CO
Zip : 80210-4245
Country : US
Telephone Number : 303-504-7820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2012
Last Update Date : 10/12/2012

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Directions to “ EVELYN OWUSU MA” Practice Location

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