Organization
MEDICAL MARIJUANA DOCTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENTRY REEVES DUNLOP JR. MD (PHYSICIAN)
(303) 995-1057
Entity
Organization
Contact information
Practice address
4745 S HELENA WAY, AURORA, CO 80015
(303) 995-1057
Mailing address
4745 S HELENA WAY, AURORA, CO 80015
(303) 995-1057
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/03/2010
Last updated
02/03/2010
Update your record
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