Marina Ivashchenko, Md, PC

NPI #1831400134 in Lonetree, Colorado

Provider Information

NPI Number: 1831400134
Entity Type: Organization
Organization Name: Marina Ivashchenko, Md, PC
Primary Specialty: Family Medicine
Enumeration Date: Jul 1, 2010
Last Updated: Jul 1, 2010

Practice Location

Address: 9898 ROSEMONT AVE STE 103
City: Lonetree
State: Colorado
ZIP Code: 80124-4107
Phone: (303) 798-4404

Authorized Official

Name: MARINA IVASHCHENKO, MD
Title: OWNER PHYSICIAN
Phone: (303) 798-4404

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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