Individual
JOHN GILES PRUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16951 E QUINCY AVE, AURORA, CO 80015-1901
(303) 752-5470
(303) 752-5471
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A139437
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2014
Last updated
06/02/2020
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