Healthcare Provider Details

I. General information

NPI: 1821801481
Provider Name (Legal Business Name): GISELLE ANA ZUMERCHIK RRA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 N HIGH ST
DENVER CO
80205-5555
US

IV. Provider business mailing address

1746 COLE BLVD STE 100
GOLDEN CO
80401-3208
US

V. Phone/Fax

Practice location:
  • Phone: 720-754-1000
  • Fax:
Mailing address:
  • Phone: 303-984-5682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number1041194
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: