Individual
KEVIN WANEBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UNIVERSITY OF COLORADO AT DENVER AND HEALTH SCIENCES CE, 4200 E. 9TH AVE., DENVER, CO 80262-0001
(720) 848-1115
Mailing address
1122 GRAPE ST, DENVER, CO 80220-4431
(303) 333-8174
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
45571
CO
Other
Enumeration date
01/26/2007
Last updated
07/10/2007
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