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Individual

DR. KENTARO YOMOGIDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2016008386
MO
2080P0216X
Pediatric Rheumatology Physician
2016008386
MO
2080P0216X
Pediatric Rheumatology Physician
Primary
DR.0071197
CO

Other

Enumeration date
06/21/2012
Last updated
07/06/2023
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