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Organization

MYHEARTLIFE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARTIN YUSSMAN MD (OWNER)
(303) 709-9275
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
42537
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053317966
CO
Enumeration date
08/29/2018
Last updated
03/15/2023
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