Individual
DR. JOSE IGNACIO MAYORDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-6900
Mailing address
AVE. JUAN PABLO II, 66, 11B, ZARAGOZA, ZARAGOZA 50009
01134645312941
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
TDP.0041921
CO
Other
Enumeration date
09/04/2012
Last updated
07/08/2014
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