Individual
JOHN COON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12635 E 17TH AVE, AURORA, CO 80045-2545
(303) 724-2305
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7278
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
21191
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42882583
—
CO
Enumeration date
07/07/2005
Last updated
04/13/2012
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