Organization
MILE HIGH IOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN T HYLAND CNIM (OWNER)
(720) 999-5031
Entity
Organization
Contact information
Practice address
652 N HIGH ST, DENVER, CO 80218-3638
(720) 999-5031
Mailing address
652 N HIGH ST, DENVER, CO 80218-3638
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3071
CO
Other
Enumeration date
05/07/2016
Last updated
05/07/2016
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