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NPI Code Detail

MEDICARE: DR. DEBORAH JALOWIEC M.D.

MEDICARE: DR. DEBORAH JALOWIEC 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
1207RC0000XCardiovascular Disease Physician29771CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205823366
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEBORAH JALOWIEC M.D.
Provider Business Mailing Address
First Line : 2222 N NEVADA AVE
Second Line : SUITE 4007
City : COLORADO SPRINGS
State : CO
Zip : 80907-6831
Country : US
Telephone Number : 719-776-8500
Fax Number : 719-634-1448
Provider Business Practice Location Address
First Line : 2222 N NEVADA AVE
Second Line : SUITE 4007
City : COLORADO SPRINGS
State : CO
Zip : 80907-6831
Country : US
Telephone Number : 719-776-8500
Fax Number : 719-634-1448
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2005
Last Update Date : 11/26/2019

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