Provider Demographics
NPI:1568566974
Name:MEZARINA, KARRIN BORCHARD (MD)
Entity Type:Individual
Prefix:DR
First Name:KARRIN
Middle Name:BORCHARD
Last Name:MEZARINA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KARRIN
Other - Middle Name:NICOLE
Other - Last Name:BORCHARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:90 HEALTH PARK DR
Mailing Address - Street 2:#160
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027
Mailing Address - Country:US
Mailing Address - Phone:303-673-9030
Mailing Address - Fax:303-604-1095
Practice Address - Street 1:90 HEALTH PARK DR
Practice Address - Street 2:#160
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027
Practice Address - Country:US
Practice Address - Phone:303-673-9030
Practice Address - Fax:303-604-1095
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO42452208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO37304348Medicare ID - Type Unspecified