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NPI Code Detail

MEDICARE: DR. JESSICA MARIE ALTREE M.D.

MEDICARE: DR. JESSICA MARIE ALTREE M.D.
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
1207R00000XInternal Medicine PhysicianMD188696OR
2207R00000XInternal Medicine PhysicianDR.0064095CO

General Provider Information

NPI Number : 1619361508
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA MARIE ALTREE M.D.
Provider Business Mailing Address
First Line : 4650 SIGNAL TREE DR STE 1200
Second Line :
City : TIMNATH
State : CO
Zip : 80547-4908
Country : US
Telephone Number : 970-237-7415
Fax Number : 970-237-7420
Provider Business Practice Location Address
First Line : 4650 SIGNAL TREE DR STE 1200
Second Line :
City : TIMNATH
State : CO
Zip : 80547-4908
Country : US
Telephone Number : 970-237-7415
Fax Number : 970-237-7420
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2015
Last Update Date : 10/02/2020

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Directions to “ DR. JESSICA MARIE ALTREE M.D.” Practice Location

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