MEDICARE: DR. JACK A KLAPPER 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
1	174400000X	Specialist	14853	CO
2	1744R1102X	Research Study Specialist	14853	CO

General Provider Information

NPI Number	:	1871936278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACK A KLAPPER MD

Provider Business Mailing Address
First Line	:	1155 E 18TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1110
Country	:	US
Telephone Number	:	303-839-9900
Fax Number	:	303-839-5430

Provider Business Practice Location Address
First Line	:	1155 E 18TH AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-1110
Country	:	US
Telephone Number	:	303-839-9900
Fax Number	:	303-839-5430

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2013
Last Update Date	:	04/16/2013

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Directions to “ DR. JACK A KLAPPER MD” Practice Location

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