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Individual

JAMIE BARRIE ELCHENKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
181 W MEADOW DR, VAIL, CO 81657-5242
(813) 205-6937
Mailing address
PO BOX 2036, SILVERTHORNE, CO 80498-2036

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
52803
TN
207L00000X
Anesthesiology Physician
Primary
56387
CO

Other

Enumeration date
05/24/2011
Last updated
08/12/2016
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