Individual
MARINA VLADIMIROVNA BACHURINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 E. HAMPDEN AVE., ENGLEWOOD, CO 80113-2702
(303) 788-6911
(303) 306-7753
Mailing address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(720) 434-4876
(303) 225-4246
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0052536
CO
207R00000X
Internal Medicine Physician
MD443289
PA
207R00000X
Internal Medicine Physician
MT191946
PA
208M00000X
Hospitalist Physician
Primary
DR.0052536
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00382736
—
CO
01
—
P01272214
RAIL ROAD MEDICARE
CO
Enumeration date
06/18/2008
Last updated
03/28/2017
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