| Guy J. Kovacevich, Md, Pc | |
|
142 Beaver Creek Place Avon CO 81620 | |
| (970) 949-5434 | |
| (970) 949-0376 |
| Full Name | Guy J. Kovacevich, Md, Pc |
|---|---|
| Speciality | General Practice |
| Location | 142 Beaver Creek Place, Avon, Colorado |
| Authorized Official Name and Position | Guy J Kovacevich (OWNER/PRESIDENT) |
| Authorized Official Contact | 9709495434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guy J. Kovacevich, Md, Pc Po Box 2819 Avon CO 81620-2819 Ph: (970) 949-5434 | Guy J. Kovacevich, Md, Pc 142 Beaver Creek Place Avon CO 81620 Ph: (970) 949-5434 |
| NPI Number | 1063721603 |
|---|---|
| Provider Enumeration Date | 09/30/2010 |
| Last Update Date | 09/30/2010 |
| Medicare PECOS PAC ID | 0749472827 |
|---|---|
| Medicare Enrollment ID | O20101007000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063721603 | NPI | - | NPPES |
| 30110 | Other | CO | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 30110 (Colorado) | Primary |
| Provider Name | Guy J Kovacevich |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376629428 PECOS PAC ID: 2264624345 Enrollment ID: I20101007000610 |
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