Mile High Spine and Pain Clinic Inc.

NPI #1649657933 in Centennial, Colorado

Provider Information

NPI Number: 1649657933
Entity Type: Organization
Organization Name: Mile High Spine and Pain Clinic Inc.
Primary Specialty: Anesthesiology
Enumeration Date: May 6, 2015
Last Updated: May 6, 2015

Practice Location

Address: 7940 S UNIVERSITY BLVD
Address 2: SUITE 110
City: Centennial
State: Colorado
ZIP Code: 80122-5104
Phone: (303) 927-6181

Authorized Official

Name: JAE HYEONG JEON, P.T., D.P.T.
Title: OWNER
Phone: (720) 401-8156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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