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NPI Code Detail

MEDICARE: DR. JAROD ALEXANDER CONLEY MD

MEDICARE: DR. JAROD ALEXANDER CONLEY 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
1207N00000XDermatology Physician2007012256MO
2207N00000XDermatology Physician48544CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1020709OTHERCOKAISER COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871676148
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAROD ALEXANDER CONLEY MD
Provider Business Mailing Address
First Line : 2750 BROADWAY ST
Second Line :
City : BOULDER
State : CO
Zip : 80304-3586
Country : US
Telephone Number : 303-440-3000
Fax Number :
Provider Business Practice Location Address
First Line : 2750 BROADWAY ST
Second Line :
City : BOULDER
State : CO
Zip : 80304-3586
Country : US
Telephone Number : 303-440-3013
Fax Number : 303-440-3178
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 02/25/2025

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