Individual
MS. CAROLYN RUTH BURKHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5200 DTC PKWY, #280, GREENWOOD VILLAGE, CO 80111-2709
(720) 200-5454
(720) 200-5460
Mailing address
5200 DTC PKWY, #280, GREENWOOD VILLAGE, CO 80111-2709
(720) 200-5454
(720) 200-5460
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
28021
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C808014
MEDICARE ID
—
Enumeration date
06/01/2006
Last updated
09/08/2011
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