Provider Demographics
NPI:1992063192
Name:GURSKY, SETH ADAM (MD)
Entity type:Individual
Prefix:DR
First Name:SETH
Middle Name:ADAM
Last Name:GURSKY
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 1:15901 E BRIARWOOD CIR UNIT 200
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-1785
Mailing Address - Country:US
Mailing Address - Phone:303-269-2626
Mailing Address - Fax:303-269-2620
Practice Address - Street 1:15901 E BRIARWOOD CIR UNIT 200
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-1785
Practice Address - Country:US
Practice Address - Phone:303-269-2626
Practice Address - Fax:303-269-2620
Is Sole Proprietor?:No
Enumeration Date:2012-04-25
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CO55829207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program