Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 52049 | CO |
N | 207PE0004X | Emergency Medical Services | 22051494 | AZ |
NPI | 1073825923 |
---|---|
Provider Name | Dr. Irina Svirsky |
First Address | Denver, CO 80247-1314 |
Second Address | Denver, CO 80218-1114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2010 |
Last Update Date | 08/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
023166 | KAISER COMMERCIAL NUMBER (01) | CO |
68758308 | (05) | CO |