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NPI Code Detail

MEDICARE: JOSEPH X JENKINS MD

MEDICARE: JOSEPH X JENKINS 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
1207RG0100XGastroenterology Physician33458CO

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1100006095OTHERCOMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588760318
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH X JENKINS MD
Provider Business Mailing Address
First Line : 3702 S TIMBERLINE RD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3624
Country : US
Telephone Number : 970-207-9773
Fax Number : 970-207-1893
Provider Business Practice Location Address
First Line : 3702 S TIMBERLINE RD
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-3624
Country : US
Telephone Number : 970-207-9773
Fax Number : 970-207-1893
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 09/22/2021

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Directions to “ JOSEPH X JENKINS MD” Practice Location

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