Healthcare Provider Details

I. General information

NPI: 1871936278
Provider Name (Legal Business Name): JACK A KLAPPER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2013
Last Update Date: 04/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 E 18TH AVE
DENVER CO
80218-1110
US

IV. Provider business mailing address

1155 E 18TH AVE
DENVER CO
80218-1110
US

V. Phone/Fax

Practice location:
  • Phone: 303-839-9900
  • Fax: 303-839-5430
Mailing address:
  • Phone: 303-839-9900
  • Fax: 303-839-5430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number14853
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number14853
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: