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Individual

DR. JOHN G MASSONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2594 TRAILRIDGE DR E, LAFAYETTE, CO 80026-3186
(303) 449-7740
(303) 604-5393
Mailing address
2594 TRAILRIDGE DRIVE EAST, LAFAYETE, CO 80026
(303) 449-7740
(303) 604-5393

Taxonomy

Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
0042908
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
024974
KAISER COMMERCIAL NUMBER
CO
05
25850041
CO
Enumeration date
02/13/2006
Last updated
09/11/2017
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