Organization
AVICENNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VITALIY BELYAVSKIY (OWNER)
(720) 581-0388
Entity
Organization
Contact information
Practice address
2600 S PARKER RD BLDG 7 UNIT 173, AURORA, CO 80014
(720) 581-0388
Mailing address
2600 S PARKER RD BLDG 7 UNIT 173, AURORA, CO 80014
(720) 581-0388
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/12/2008
Last updated
07/02/2009
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