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NPI Code Detail

MEDICARE: RICHARD ROTUNNO

MEDICARE:   RICHARD  ROTUNNO
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
1171WH0202XHome Modifications ContractorPC.0004192CO

General Provider Information

NPI Number : 1861153538
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD ROTUNNO
Provider Business Mailing Address
First Line : 5200 E 12TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80220-2533
Country : US
Telephone Number : 720-984-7772
Fax Number :
Provider Business Practice Location Address
First Line : 5200 E 12TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80220-2533
Country : US
Telephone Number : 720-984-7772
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2022
Last Update Date : 01/07/2022

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Directions to “ RICHARD ROTUNNO ” Practice Location

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