MEDICARE: DR. SUSAN PAPNER D.O.

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
1	207Q00000X	Family Medicine Physician	28851	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093708984
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUSAN PAPNER D.O.

Provider Business Mailing Address
First Line	:	701 E HAMPDEN AVE STE 350
Second Line	:
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-3879
Country	:	US
Telephone Number	:	303-788-6490
Fax Number	:	303-788-5451

Provider Business Practice Location Address
First Line	:	701 E HAMPDEN AVE
Second Line	:	SUITE 350
City	:	ENGLEWOOD
State	:	CO
Zip	:	80113-2736
Country	:	US
Telephone Number	:	303-788-6490
Fax Number	:	303-788-5451

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	12/19/2016

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