NPI 1083307805

Andaulem Wubetu Abebaw

Practitioner Driver Denver, CO

Practice location

Address: 8500 E Mississippi Ave APT 1, Denver, CO 80247-2206
Phone: (720) 277-8979

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1083307805
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 May 2023
Record last updated: 29 May 2023

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.