Sung Ok Jeon, MD
Psychiatry & Neurology, Neurocritical Care in Denver, CO. Individual provider (NPI-1).
NPI number1669979654
StatusActive
Last updated in NPPESNov 22, 2024
Details
- NPI
- 1669979654
- Entity type
- Individual (NPI-1)
- Name
- Sung Ok Jeon
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 7, 2018
- Certification date
- Nov 22, 2024
- Last updated
- Nov 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084A2900X | Psychiatry & Neurology, Neurocritical Care | DR0065381 | CO | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | MD221747 | OR | |
| 2084N0400X | Psychiatry & Neurology, Neurology | ME163265 | FL | |
| 2084N0400X | Psychiatry & Neurology, Neurology | MD61575667 | WA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
777 Bannock StDenver, CO 80204-4597
Phone 303-436-4949 · Fax 303-602-6190
Mailing address
777 Bannock StDenver, CO 80204-4597
Phone 303-436-4949 · Fax 303-602-6190
Other practice locations
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Fort Myers, FL 33966-1206
Phone 239-208-2212
2801 N Gantenbein Ave
Portland, OR 97227-1623
Portland, OR 97227-1623
Phone 503-413-2200
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