Organization
MEDVACATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TARAS KUZIN (CEO)
(720) 837-2378
Entity
Organization
Contact information
Practice address
2340 CURTIS STREET UNIT #3, DENVER, CO 80205
(720) 837-2378
Mailing address
PO BOX 653, DENVER, CO 80201-0653
(720) 837-2378
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
251B00000X
Case Management Agency
—
—
261QA0006X
Ambulatory Fertility Facility
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/18/2010
Last updated
05/18/2010
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