Provider Demographics
NPI:1659630382
Name:UR, REBECCA (MD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:UR
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1622 HAWKCREST LN
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27127-4866
Mailing Address - Country:US
Mailing Address - Phone:805-291-3977
Mailing Address - Fax:
Practice Address - Street 1:1601 E 19TH AVE STE 3950
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1256
Practice Address - Country:US
Practice Address - Phone:303-539-0736
Practice Address - Fax:303-539-0737
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2020-09-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CODR.00646002086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery