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General NPI Number Information
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NPI Number | 1881854289
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Entity Type | Individual
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Provider Name | JASON ABELARDO CORDERO MD
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Gender | Male
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Dates
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Enumeration Date | 06/10/2008
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 920 STANTON L YOUNG BLVD STE 1140
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5036
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Country | US
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Telephone | 405-271-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 1396 VINE ST
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City | DENVER
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State | CO
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Zip | 80206-2012
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Country | US
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Telephone | 954-235-8568
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 266116-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 2013006231
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | DR.0053763
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | DR.0053763
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License Number State | CO
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