Basic Information
| Provider Information | |||||||||
| NPI: | 1093949620 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MANGELSON | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | JOSEPH | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1610 PRAIRIE CENTER PKWY | ||||||||
| Address2: | SUITE 2200 | ||||||||
| City: | BRIGHTON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 806014004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034981885 | ||||||||
| FaxNumber: | 3034981884 | ||||||||
| Practice Location | |||||||||
| Address1: | 1610 PRAIRIE CENTER PKWY | ||||||||
| Address2: | SUITE 2200 | ||||||||
| City: | BRIGHTON | ||||||||
| State: | CO | ||||||||
| PostalCode: | 806014004 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3034981885 | ||||||||
| FaxNumber: | 3034981884 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2009 | ||||||||
| LastUpdateDate: | 07/27/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | DR.0055843 | CO | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207XS0106X | DR.0055843 | CO | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Hand Surgery |
No ID Information.