Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35479 | CO |
Y | 208600000X | Surgeon | 35479 | CO |
NPI | 1003865023 |
---|---|
Provider Name | John H Sun |
First Address | Parker, CO 80138-8575 |
Second Address | Parker, CO 80138-8575 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2006 |
Last Update Date | 26/06/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
280000886 | RAILROAD MEDICARE PIN (01) | CO |
C1354794 | (05) | CO |
G30606 | (02) |