NPI 1053740571
Minjae an
Practice location
- Address
- 4500 S Monaco Street Apt.1624, Denver, CO 80237
- Phone
- (585) 766-4182
- Mailing address
- 4500 S Monaco St APT 1624, Denver, CO 80237-3425
Registered specialties
Psychiatric Residential Treatment Facility
Primary
Registry record
- NPI
- 1053740571
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Nov 2013
- Record last updated
- 5 Nov 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.