Healthcare Provider Details

I. General information

NPI: 1558650168
Provider Name (Legal Business Name): JUE CAO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 N HIGH ST STE 130
DENVER CO
80205-5504
US

IV. Provider business mailing address

2055 N HIGH ST STE 130
DENVER CO
80205-5504
US

V. Phone/Fax

Practice location:
  • Phone: 303-861-2663
  • Fax: 303-861-4741
Mailing address:
  • Phone: 303-861-2663
  • Fax: 303-861-4741

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License NumberDR.0052358
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberDR.0052358
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: