Individual
DR. TAEKWONDO JONOHN BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9395 CROWN CREST BLVD, PARKER, CO 80138-8573
(303) 269-4000
Mailing address
PO BOX 911057, DENVER, CO 80291-1057
(303) 643-1099
(303) 643-1176
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0053368
CO
208M00000X
Hospitalist Physician
DR.0053368
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029546
KAISER COMMERCIAL NUMBER
CO
05
—
59433752
—
CO
01
—
P01373713
RAIL ROAD MEDICARE
CO
Enumeration date
08/08/2011
Last updated
05/13/2024
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