Organization
SUN AND MOON CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GWAN HO LEE (OWNER)
(303) 340-8977
Entity
Organization
Contact information
Practice address
11175 E MISSISSIPPI AVE STE 232, AURORA, CO 80012-3137
(303) 340-8977
Mailing address
11175 E MISSISSIPPI AVE STE 232, AURORA, CO 80012-3137
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
C804338
CO
Other
Enumeration date
07/06/2006
Last updated
08/22/2020
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