Individual
PHILIP B MIZUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
12250 E ILIFF AVE, #300, AURORA, CO 80014-6318
(303) 306-4321
(720) 524-1551
Mailing address
12250 E ILIFF AVE, #300, AURORA, CO 80014-6318
(303) 306-4321
(720) 524-1551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
109684
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58685545
—
CO
Enumeration date
05/24/2006
Last updated
05/26/2015
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