Individual
JOHN J KOZLEVCHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3900 GRAPE ST, MC3800, DENVER, CO 80207-1144
(303) 436-6000
Mailing address
3900 GRAPE ST, MC3800, DENVER, CO 80207-1144
(303) 436-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
424
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66377544
—
CO
Enumeration date
08/20/2006
Last updated
07/08/2007
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