Individual
KENJI TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13123 E 16TH AVE # B115, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
13123 E 16TH AVE # B115, AURORA, CO 80045-7106
(720) 777-1234
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
07/10/2023
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