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Contact Information

MEDICAL MARIJUANA DOCTOR
4745 S HELENA WAY
AURORA, CO80015
 Phone: 303-995-1057
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MEDICAL MARIJUANA DOCTOR

NPI # 1457683344
LBN Legal business name MEDICAL MARIJUANA DOCTOR
Authorized official GENTRY DUNLOP - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 02/03/2010
Last updated 02/03/2010 - About 16 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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