# MARINA IVASHCHENKO, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316251929
- **Authorized official:** DR. MARINA IVASHCHENKO (PRESIDENT)
- **Authorized official phone:** (303) 799-7978

## Contact information

- **Practice address:** 9898 ROSEMONT AVE, BLDG 4, SUITE 104, LONE TREE, CO 80124-4107
- **Practice address phone:** (303) 799-7978
- **Practice address fax:** (303) 790-4045
- **Mailing address:** 9898 ROSEMONT AVE, BLDG 4, SUITE 104, LONE TREE, CO 80124-4107
- **Mailing address phone:** (303) 799-7978
- **Mailing address fax:** (303) 790-4045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/06/2010
- **Last updated:** 10/01/2013