Organization
ENT4CHILDREN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MICHAEL JASKUNAS M.D. (OWNER)
(303) 839-7949
Entity
Organization
Contact information
Practice address
1601 E 19TH AVE, STE 5500, DENVER, CO 80218-1216
(303) 839-7900
(303) 839-7930
Mailing address
1601 E 19TH AVE, STE 5500, DENVER, CO 80218-1216
(303) 839-7900
(303) 839-7930
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23981
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01239813
—
CO
Enumeration date
11/05/2009
Last updated
11/05/2009
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