Provider Demographics
NPI:1164051777
Name:MAUNER, AARON LAURENCE (MD)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:LAURENCE
Last Name:MAUNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11836 E KEPNER DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3292
Mailing Address - Country:US
Mailing Address - Phone:303-818-9359
Mailing Address - Fax:
Practice Address - Street 1:1120 WELLINGTON AVE STE 206
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-6131
Practice Address - Country:US
Practice Address - Phone:970-243-7245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0073452207L00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program