Healthcare Provider Details

I. General information

NPI: 1811337595
Provider Name (Legal Business Name): JENNIFER MARIE ARBLE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2013
Last Update Date: 09/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 E 19TH AVE
DENVER CO
80218-1235
US

IV. Provider business mailing address

PO BOX 1080
MORRISON CO
80465-5080
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-2888
  • Fax: 407-303-2869
Mailing address:
  • Phone: 719-688-6180
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number59036
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: