Organization
JAVIER WAKSMAN MD,PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER WAKSMAN (OWNER)
(303) 493-7000
Entity
Organization
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
(303) 316-7942
Mailing address
13611 E COLFAX AVE, AURORA, CO 80045-5701
(303) 493-7000
(303) 316-7942
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39764
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
76473279
—
CO
Enumeration date
01/18/2008
Last updated
01/18/2008
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