Provider Demographics
NPI:1255674446
Name:BOGUNIEWICZ, JURI (MD)
Entity type:Individual
Prefix:
First Name:JURI
Middle Name:
Last Name:BOGUNIEWICZ
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69 DEERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-2627
Mailing Address - Country:US
Mailing Address - Phone:303-906-5709
Mailing Address - Fax:
Practice Address - Street 1:69 DEERWOOD DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-2627
Practice Address - Country:US
Practice Address - Phone:303-906-5709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0062167208000000X
CO621672080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
No208000000XAllopathic & Osteopathic PhysiciansPediatrics