Provider Demographics
NPI:1336125962
Name:MOSKVER, VLADIMIR K (MD)
Entity Type:Individual
Prefix:DR
First Name:VLADIMIR
Middle Name:K
Last Name:MOSKVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9900
Mailing Address - Street 2:
Mailing Address - City:BRECKENRIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80424-9021
Mailing Address - Country:US
Mailing Address - Phone:719-633-1937
Mailing Address - Fax:
Practice Address - Street 1:53 AUDREY CIR
Practice Address - Street 2:
Practice Address - City:BRECKENRIDGE
Practice Address - State:CO
Practice Address - Zip Code:80424-8950
Practice Address - Country:US
Practice Address - Phone:719-633-1937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-15
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO32046207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine