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Organization

KY SAWADA MD PROFESSIONAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN Y SAWADA MD (PRESIDENT)
(303) 463-9600
Entity
Organization

Contact information

Practice address
400 INDIANA ST, SUITE 390, GOLDEN, CO 80401-5027
(303) 463-9600
Mailing address
3464 S WILLOW ST, SUITE 657, DENVER, CO 80231-4531
(303) 755-2900

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DA4475
RAILROAD MEDICARE
CO
01
SW28118
BLUE SHIELD
CO
Enumeration date
07/23/2006
Last updated
06/27/2011
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