Individual
JIAN J JING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
4301114160
MI
207ZC0500X
Cytopathology Physician
MD461772
PA
207ZP0101X
Anatomic Pathology Physician
Primary
4301114160
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
472981425
DRIVER LICENSE
NY
Enumeration date
03/13/2018
Last updated
06/05/2019
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