MEDICARE: AARON M EBERHARDT MD

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	390200000X	Student in an Organized Health Care Education/Training Program	TL-1333	CO
2	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	46265	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	:	1871711036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AARON M EBERHARDT MD

Provider Business Mailing Address
First Line	:	DEPT 1265
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80256-0001
Country	:	US
Telephone Number	:	866-898-7136
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 W 38TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80033-6005
Country	:	US
Telephone Number	:	303-425-4500
Fax Number	:

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

Provider Enumeration Date	:	04/23/2007
Last Update Date	:	03/29/2021

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