# SUN AND MOON CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306877311
- **Authorized official:** MR. GWAN HO LEE (OWNER)
- **Authorized official phone:** (303) 340-8977

## Contact information

- **Practice address:** 11175 E MISSISSIPPI AVE STE 232, AURORA, CO 80012-3137
- **Practice address phone:** (303) 340-8977
- **Mailing address:** 11175 E MISSISSIPPI AVE STE 232, AURORA, CO 80012-3137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | C804338 | CO | Yes |

## Other

- **Enumeration date:** 07/06/2006
- **Last updated:** 08/22/2020