Organization
AVISTA WOMENS CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKKI BAKER (BILLING)
(303) 439-8910
Entity
Organization
Contact information
Practice address
90 HEALTH PARK DR, 290, LOUISVILLE, CO 80027-9586
(303) 439-8910
(303) 439-9134
Mailing address
90 HEALTH PARK DR, 290, LOUISVILLE, CO 80027-9586
(303) 439-8910
(303) 439-9134
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38781026
—
CO
01
—
C808302
LEGACY NUMBER
CO
Enumeration date
05/31/2006
Last updated
07/23/2012
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