Healthcare Provider Details

I. General information

NPI: 1568566974
Provider Name (Legal Business Name): KARRIN BORCHARD MEZARINA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARRIN NICOLE BORCHARD

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 HEALTH PARK DR #160
LOUISVILLE CO
80027
US

IV. Provider business mailing address

90 HEALTH PARK DR #160
LOUISVILLE CO
80027
US

V. Phone/Fax

Practice location:
  • Phone: 303-673-9030
  • Fax: 303-604-1095
Mailing address:
  • Phone: 303-673-9030
  • Fax: 303-604-1095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number42452
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: