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Organization
MYHEARTLIFE PLLC
Active
Organization
MYHEARTLIFE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN YUSSMAN MD (OWNER)
(303) 709-9275
Entity
Organization
Contact information
Practice address
425 S CHERRY ST STE 160, DENVER, CO 80246-1221
(303) 709-9275
Mailing address
460 N CLARKSON ST, DENVER, CO 80218-3717
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
42537
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053317966
—
CO
Enumeration date
08/29/2018
Last updated
03/15/2023
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