| Organization Name: | GUY J. KOVACEVICH, MD, PC |
| NPI Number: | 1063721603 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GUY J KOVACEVICH (OWNER/PRESIDENT) |
| Mailing Address: | 142 Beaver Creek Place Avon |
| State: | CO US |
| Postal Code: | 81620 |
| Phone Number: | 9709495434 |
| Fax Number: | 9709490376 |
| NPI Enumeration Date: | 09/30/2010 |
| NPI Last Update Date: | 09/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 30110 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |