Mary A Kovalak
Gastroenterologist
88 Inverness Cir E A205
Englewood
, Colorado 80112-5304
Mary A Kovalak
Gastroenterologist
88 Inverness Cir E A205
Englewood
, Colorado 80112-5304
(303) 790-2567
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Mary A Kovalak
- 10103 Ridgegate Pkwy Suite 312
- Lonetree, CO
- Zip : 80124-5520
- Fax : (303) 790-2567
- Phone : (303) 788-8888
Second Address
- Mary A Kovalak
- 88 Inverness Cir E A205
- Englewood, CO
- Zip : 80112-5304
- Fax : (303) 768-8774
- Phone : (303) 788-8888
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 48189 | CO |
National Provider Identifier
| NPI | 1003861030 |
|---|---|
| Provider Name | Mary A Kovalak |
| First Address | Lonetree, CO 80124-5520 |
| Second Address | Englewood, CO 80112-5304 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/05/2006 |
| Last Update Date | 09/08/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 78529760 | (05) | CO |
| N/A | (02) | CO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.