Healthcare Provider Details

I. General information

NPI: 1932665726
Provider Name (Legal Business Name): XIANGYANG CUI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2019
Last Update Date: 02/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3955 E EXPOSITION AVE STE 200
DENVER CO
80209-5032
US

IV. Provider business mailing address

3955 E EXPOSITION AVE STE 200
DENVER CO
80209-5032
US

V. Phone/Fax

Practice location:
  • Phone: 303-316-8866
  • Fax:
Mailing address:
  • Phone: 303-316-8866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number336
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: