Provider Demographics
NPI:1093949620
Name:MANGELSON, JOHN JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:JOSEPH
Last Name:MANGELSON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1610 PRAIRIE CENTER PKWY
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-4004
Mailing Address - Country:US
Mailing Address - Phone:303-498-1885
Mailing Address - Fax:303-498-1884
Practice Address - Street 1:1610 PRAIRIE CENTER PKWY
Practice Address - Street 2:SUITE 2200
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-4004
Practice Address - Country:US
Practice Address - Phone:303-498-1885
Practice Address - Fax:303-498-1884
Is Sole Proprietor?:No
Enumeration Date:2009-05-11
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0055843207X00000X, 207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery