Individual
DR. MARK Y JEONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2045 N FRANKLIN ST, DENVER, CO 80205
(303) 338-4545
(303) 344-7715
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
44472
CO
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0044472
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028873
KAISER COMMERCIAL NUMBER
CO
05
—
20980035
—
CO
Enumeration date
09/26/2006
Last updated
06/03/2021
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