Individual
DR. SHINICHI STEVE YASUZAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1421 S POTOMAC ST STE 220, AURORA, CO 80012-4512
(303) 696-0707
(303) 696-0708
Mailing address
1421 S POTOMAC ST STE 220, AURORA, CO 80012-4512
(303) 696-0707
(303) 696-0708
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17652
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01176528
—
CO
Enumeration date
01/31/2007
Last updated
07/08/2007
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