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Individual

DR. KORINA R BERSENTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
936 SHAVANO PEAK DR, SUPERIOR, CO 80027-6084
(303) 912-8948
(303) 494-5264
Mailing address
936 SHAVANO PEAK DR, SUPERIOR, CO 80027-6084
(303) 912-8948
(303) 494-5264

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
36175
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01361757
CO
01
100009897
RAILROAD MEDICARE
CO
01
BEA1368
BCBS
CO
Enumeration date
07/07/2006
Last updated
03/07/2024
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