Individual
DR. JUSTIN MICHAEL KANOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 DRY CREEK DR, LONGMONT, CO 80503-6499
(303) 772-3300
(303) 682-3380
Mailing address
243 CHARLES ST, BOSTON, MA 02114
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
231866
MA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
53516
CO
Other
Enumeration date
05/20/2008
Last updated
05/10/2018
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