Doctor Name: | JULIE M CORKREAN |
NPI Number: | 1548390388 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 172956 |
Business Practice Address: | 2550 S Parker Rd Ste 300 Aurora, CO - 800141675 |
Business Phone Number: | 3036363092 |
Business Fax Number: | |
Mailing Address: | 2550 S Parker Rd, Suite 300 AURORA |
State: | CO |
Postal Code: | 800141622 |
Phone Number: | 3036363092 |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 172956 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |