# MYHEARTLIFE PLLC

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

## Provider details

- **NPI number:** 1316429103
- **Authorized official:** DR. MARTIN YUSSMAN MD (OWNER)
- **Authorized official phone:** (303) 709-9275

## Contact information

- **Practice address:** 425 S CHERRY ST STE 160, DENVER, CO 80246-1221
- **Practice address phone:** (303) 709-9275
- **Mailing address:** 460 N CLARKSON ST, DENVER, CO 80218-3717

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 42537 | CO | Yes |

## Other

- **Enumeration date:** 08/29/2018
- **Last updated:** 03/15/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1053317966 | — | CO |