NPI 1417646621
Surafel Mamo
Practice location
- Address
- 630 S Dayton St APT 15-109, Denver, CO 80247-1340
- Phone
- (720) 614-2261
- Mailing address
- 1001 S Havana St APT 212, Denver, CO 80012-2904
Registered specialties (2)
Transportation Broker
Primary
Transportation Broker
Registry record
- NPI
- 1417646621
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 May 2023
- Record last updated
- 3 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.