MEDICARE: GEORGE V ROSSIE

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	174400000X	Specialist	799	CO

General Provider Information

NPI Number	:	1659553675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGE V ROSSIE

Provider Business Mailing Address
First Line	:	4200 W CONEJOS PL STE 111
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-1309
Country	:	US
Telephone Number	:	303-893-9300
Fax Number	:	303-893-4384

Provider Business Practice Location Address
First Line	:	4200 W CONEJOS PL STE 111
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-1309
Country	:	US
Telephone Number	:	303-893-9300
Fax Number	:	303-893-4384

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MS. DAUN GRETZINGER
Credential	:
Telephone Number	:	303-893-9300

Provider Enumeration Date	:	11/30/2007
Last Update Date	:	03/06/2008

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Directions to “GEORGE V ROSSIE ” Practice Location

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