Healthcare Provider Details

I. General information

NPI: 1912831645
Provider Name (Legal Business Name): MICHAEL HIROFUMI SUGIURA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 S BEELER ST STE 150
DENVER CO
80237-1991
US

IV. Provider business mailing address

3600 S BEELER ST STE 150
DENVER CO
80237-1991
US

V. Phone/Fax

Practice location:
  • Phone: 720-285-6251
  • Fax:
Mailing address:
  • Phone: 720-285-6251
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberACU.0002378
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: