Individual
JOB K CHACKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 E. 19TH AVENUE, SUITE 6400, DENVER, CO 80218-1216
(303) 839-7200
(303) 839-7229
Mailing address
1601 E. 19TH AVENUE, SUITE 6400, DENVER, CO 80218-1216
(303) 839-7200
(303) 839-7229
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
40477
CO
Other
Enumeration date
01/30/2007
Last updated
09/16/2009
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