MEDICARE: CYNTHIA S HARRISON

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	246ZA2600X	Medical Art Specialist/Technologist

General Provider Information

NPI Number	:	1962969709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA S HARRISON

Provider Business Mailing Address
First Line	:	4597 SEDONA LN
Second Line	:
City	:	DACONO
State	:	CO
Zip	:	80514-8533
Country	:	US
Telephone Number	:	303-434-2900
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 S CHERRY ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80246-1325
Country	:	US
Telephone Number	:	303-951-2100
Fax Number	:

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

Provider Enumeration Date	:	02/28/2019
Last Update Date	:	02/28/2019

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