Healthcare Provider Details

I. General information

NPI: 1558772624
Provider Name (Legal Business Name): JULIE MARIE SEFCIK D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULIE MARIE HAAS D.O.

II. Dates (important events)

Enumeration Date: 05/12/2014
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7625 W 92ND AVE
WESTMINSTER CO
80021-4567
US

IV. Provider business mailing address

7625 W 92ND AVE
WESTMINSTER CO
80021-4567
US

V. Phone/Fax

Practice location:
  • Phone: 303-254-7462
  • Fax: 303-650-2287
Mailing address:
  • Phone: 303-254-7462
  • Fax: 303-650-2287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number57766
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: