MEDICARE: JULIUS BUDNICK JR. MD PC

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	207R00000X	Internal Medicine Physician	32884	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	:	1467532069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIUS BUDNICK JR. MD PC

Provider Business Mailing Address
First Line	:	PO BOX 76510
Second Line	:
City	:	COLORADO SPGS
State	:	CO
Zip	:	80970-6510
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3010 N CIRCLE DR 200B
Second Line	:
City	:	COLO SPRINGS
State	:	CO
Zip	:	80909-1174
Country	:	US
Telephone Number	:	719-867-7373
Fax Number	:	719-867-7374

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	02/12/2008

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