Individual
ERIC M WASHYCHYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8101 E LOWRY BLVD, SUITE 260, DENVER, CO 80230-7196
(303) 214-4500
(303) 214-4571
Mailing address
8101 E LOWRY BLVD, SUITE 260, DENVER, CO 80230-7196
(303) 214-4500
(303) 214-4571
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1335
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010148866
BLUE SHIELD
ID
01
—
000010148868
BLUE SHIELD
ID
01
—
P00172265
RAILROAD MEDICARE
ID
01
—
PAQ00
BLUE CROSS
ID
01
—
PAQP7
BLUE CROSS
ID
Enumeration date
11/03/2005
Last updated
10/22/2007
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