Dr. Jason William Denbo
Surgical Oncologist
2450 Riverside Ave
Minneapolis
, Minnesota 55454-1450
Dr. Jason William Denbo
Surgical Oncologist
2450 Riverside Ave
Minneapolis
, Minnesota 55454-1450
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About
Features
Specialties
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Dr. Jason William Denbo
- 176 Crestmere Pl
- Memphis, TN
- Zip : 38112-3202
- Phone :
Second Address
- Dr. Jason William Denbo
- 2450 Riverside Ave
- Minneapolis, MN
- Zip : 55454-1450
- Phone : (612) 672-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086X0206X | Surgical Oncologist | 62506 | MN |
| N | 2086X0206X | Surgical Oncologist | Q1587 | TX |
National Provider Identifier
| NPI | 1346432572 |
|---|---|
| Provider Name | Dr. Jason William Denbo |
| First Address | Memphis, TN 38112-3202 |
| Second Address | Minneapolis, MN 55454-1450 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2007 |
| Last Update Date | 18/01/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 343113201 (MDACC) | (05) | TX |
| 8ET732 (MDACC) | BCBS (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.