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NPI Code Detail

MEDICARE: KAREN DALQUIST GAVIGAN M.D.

MEDICARE: KAREN DALQUIST GAVIGAN M.D.
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
1208000000XPediatrics Physician2002-00691NC
2208000000XPediatrics PhysicianDR.0046688CO

General Provider Information

NPI Number : 1144392184
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN DALQUIST GAVIGAN M.D.
Provider Business Mailing Address
First Line : 6069 S SOUTHLANDS PKWY
Second Line :
City : AURORA
State : CO
Zip : 80016-5316
Country : US
Telephone Number : 303-928-7555
Fax Number : 303-928-7560
Provider Business Practice Location Address
First Line : 6069 S SOUTHLANDS PKWY
Second Line :
City : AURORA
State : CO
Zip : 80016-5316
Country : US
Telephone Number : 303-928-7555
Fax Number : 303-928-7560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 01/04/2022

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