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Contact Information

ALEX R. CUDKOWICZ, M.D.,P.C.
1011 N MILDRED RD
CORTEZ, CO81321
 Phone: 970-565-8482
 Fax: 970-565-8478
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for ALEX R. CUDKOWICZ, M.D.,P.C.

NPI # 1508846551
LBN Legal business name ALEX R. CUDKOWICZ, M.D.,P.C.
Authorized official ATHANASSIOS PAPAIOANU - (PRESIDENT & CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/17/2006
Last updated 12/29/2021 - About 4 years ago
Identifiers
CO License # 34477
AZ Medicaid 445066
CO Medicaid 74779354
NM Medicaid Q4652
UT Medicaid 291602679011
CO Other 21901 BLUE CROSS/BLUE SHIELD ID
CO Other 06D2089339 CLIA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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