Healthcare Provider Details

I. General information

NPI: 1447340898
Provider Name (Legal Business Name): YONG (PETER) ZHOU CSA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17343 E LAKE PL
AURORA CO
80016-3213
US

IV. Provider business mailing address

17343 E LAKE PL
AURORA CO
80016-3213
US

V. Phone/Fax

Practice location:
  • Phone: 303-617-7566
  • Fax:
Mailing address:
  • Phone: 303-617-7566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: