Individual
JOHN C MOGAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
191 UNIVERSITY BLVD, #713, DENVER, CO 80206-4613
(303) 377-6825
Mailing address
191 UNIVERSITY BLVD, #713, DENVER, CO 80206-4613
(303) 377-6825
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20241
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01202415
—
CO
05
—
100459020A
—
KS
05
—
118748100
—
WY
05
—
3506685
—
MT
05
—
431593700
—
ME
05
—
54727758
—
NM
05
—
84113438513
—
NE
05
—
907490200
—
FL
Enumeration date
12/29/2005
Last updated
04/19/2013
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