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1336122365

NPI Code Detail

MEDICARE: JEFFREY J GUYON MD

MEDICARE: JEFFREY J GUYON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085B0100X	Body Imaging Physician	25894	CO
2	2085N0700X	Neuroradiology Physician	25894	CO
3	2085N0904X	Nuclear Radiology Physician	25894	CO
4	2085P0229X	Pediatric Radiology Physician	25894	CO
5	2085R0202X	Diagnostic Radiology Physician	25894	CO

General Provider Information

NPI Number	:	1336122365
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY J GUYON MD

Provider Business Mailing Address
First Line	:	1873 S BELLAIRE ST
Second Line	:	SUITE 420
City	:	DENVER
State	:	CO
Zip	:	80222-4358
Country	:	US
Telephone Number	:	303-753-1191
Fax Number	:	303-753-6636

Provider Business Practice Location Address
First Line	:	8300 W 38TH AVE
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80033-6005
Country	:	US
Telephone Number	:	303-425-2015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	10/01/2013

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Directions to “ JEFFREY J GUYON MD” Practice Location

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