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NPI Code Detail

MEDICARE: DR. JOHN G MASSONE MD

MEDICARE: DR. JOHN G MASSONE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician0042908CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1024974OTHERCOKAISER COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598738114
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN G MASSONE MD
Provider Business Mailing Address
First Line : 2594 TRAILRIDGE DRIVE EAST
Second Line :
City : LAFAYETE
State : CO
Zip : 80026
Country : US
Telephone Number : 303-449-7740
Fax Number : 303-604-5393
Provider Business Practice Location Address
First Line : 2594 TRAILRIDGE DR E
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-3186
Country : US
Telephone Number : 303-449-7740
Fax Number : 303-604-5393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 09/11/2017

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Directions to “ DR. JOHN G MASSONE MD” Practice Location

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