Organization
MILE HIGH SPINE AND PAIN CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE HYEONG JEON P.T., D.P.T. (OWNER)
(720) 401-8156
Entity
Organization
Contact information
Practice address
7940 S UNIVERSITY BLVD, SUITE 110, CENTENNIAL, CO 80122-5104
(303) 927-6181
(720) 379-5827
Mailing address
7940 S UNIVERSITY BLVD, SUITE 110, CENTENNIAL, CO 80122-5104
(303) 927-6181
(720) 379-5827
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DR,0026309
CO
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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