Individual
ADAM D MANCHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4380 S SYRACUSE ST STE 120, DENVER, CO 80237-3094
(303) 422-9438
Mailing address
455 SHERMAN ST, STE 510, DENVER, CO 80203-4400
(303) 377-6825
(303) 780-0787
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
45435
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10108327
—
CO
05
—
1972659571
—
WY
05
—
200428570A
—
KS
05
—
3506685
—
MT
05
—
84113438513
—
NE
05
—
92754058
—
NM
Enumeration date
01/26/2007
Last updated
06/29/2021
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