Provider Demographics
NPI:1245388313
Name:MURZYN, JOHN L (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:L
Last Name:MURZYN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 S POTOMAC WAY
Mailing Address - Street 2:STE D
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2491
Mailing Address - Country:US
Mailing Address - Phone:303-344-4505
Mailing Address - Fax:303-341-0565
Practice Address - Street 1:390 S POTOMAC WAY
Practice Address - Street 2:STE D
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-2491
Practice Address - Country:US
Practice Address - Phone:303-344-4505
Practice Address - Fax:303-341-0565
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2940111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO35832771Medicaid
COU67187Medicare UPIN
CO35832771Medicaid