MEDICARE: TODD EDWARD KARLIK 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
1	208M00000X	Hospitalist Physician	DR.54145	CO

General Provider Information

NPI Number	:	1396732137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD EDWARD KARLIK M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1687
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81502-1687
Country	:	US
Telephone Number	:	970-242-0920
Fax Number	:	970-644-3948

Provider Business Practice Location Address
First Line	:	2351 G RD
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81505-9641
Country	:	US
Telephone Number	:	970-242-0920
Fax Number	:	970-644-3948

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

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	04/13/2017

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