David Korneluk, MD | |
425 S Cherry St Ste 410, Glendale, CO 80246-1231 | |
(303) 333-3388 | |
(303) 333-5094 |
Full Name | David Korneluk |
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Gender | Male |
Speciality | Family Medicine - Sports Medicine |
Location | 425 S Cherry St Ste 410, Glendale, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689203788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DR.72899 (Colorado) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | 72899 (Colorado) | Primary |
Entity Name | Portercare Adventist Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327 |
Mailing Address | Practice Location Address |
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David Korneluk, MD 425 S Cherry St Ste 410, Glendale, CO 80246-1231 Ph: () - | David Korneluk, MD 425 S Cherry St Ste 410, Glendale, CO 80246-1231 Ph: (303) 333-3388 |
Dr. Joshua Jason Solot, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4100 E Mississippi Ave Ste 110, Glendale, CO 80246 Phone: 303-552-9522 | |
Dr. David A Severance, M.D Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4100 E Mississippi Ave, Glendale, CO 80246 Phone: 303-552-9522 Fax: 720-729-7668 |