MEDICARE: DR. ERIC MOURRUT

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	101Y00000X	Counselor
2	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1124851555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC MOURRUT

Provider Business Mailing Address
First Line	:	PO BOX 6951
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80206-0951
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	999 N OGDEN ST APT 706
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-2845
Country	:	US
Telephone Number	:	303-839-8900
Fax Number	:

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

Provider Enumeration Date	:	08/21/2024
Last Update Date	:	08/21/2024

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Directions to “ DR. ERIC MOURRUT ” Practice Location

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