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NPI Code Detail

MEDICARE: DONGKWAN JIN MD

MEDICARE: DONGKWAN JIN 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
12084N0400XNeurology PhysicianDR.0063888CO

General Provider Information

NPI Number : 1508310111
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONGKWAN JIN MD
Provider Business Mailing Address
First Line : 3920 N UNION BLVD STE 150
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-1907
Country : US
Telephone Number : 719-694-3595
Fax Number : 719-439-9936
Provider Business Practice Location Address
First Line : 3920 N UNION BLVD STE 150
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-1907
Country : US
Telephone Number : 719-694-3595
Fax Number : 719-439-9936
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2016
Last Update Date : 06/03/2026

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Directions to “ DONGKWAN JIN MD” Practice Location

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