Individual
DR. JESUS HELIODORO HERMOSILLO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-3382
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10036751
TX
207RH0003X
Hematology & Oncology Physician
BP20047675
TX
207RH0003X
Hematology & Oncology Physician
Primary
DR.0056478
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027004
KAISER COMMERCIAL NUMBER
CO
05
—
32155077
—
CO
Enumeration date
04/26/2010
Last updated
03/14/2021
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