Individual
KARRIE VILLAVICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-6820
(720) 777-7288
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
42347
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05905770
—
CO
Enumeration date
10/25/2006
Last updated
08/06/2013
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