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NPI Code Detail

MEDICARE: DR. JULIANNA MARIA SUTARIK

MEDICARE: DR. JULIANNA MARIA SUTARIK
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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician31050CO

Other Identifiers

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

General Provider Information

NPI Number : 1558346965
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIANNA MARIA SUTARIK
Provider Business Mailing Address
First Line : 274 UNION BLVD
Second Line : SUITE 110
City : LAKEWOOD
State : CO
Zip : 80228-1813
Country : US
Telephone Number : 303-951-0600
Fax Number :
Provider Business Practice Location Address
First Line : 274 UNION BLVD
Second Line : SUITE 110
City : LAKEWOOD
State : CO
Zip : 80228-1813
Country : US
Telephone Number : 303-951-0600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 03/05/2018

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Directions to “ DR. JULIANNA MARIA SUTARIK ” Practice Location

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