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NPI Code Detail

MEDICARE: JONATHAN LUKE ARNHOLT M.D.

MEDICARE: JONATHAN LUKE ARNHOLT 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
1207Y00000XOtolaryngology Physician01058092AIN

General Provider Information

NPI Number : 1235321993
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN LUKE ARNHOLT M.D.
Provider Business Mailing Address
First Line : 4102 PINION DR
Second Line : 10TH MEDICAL GROUP
City : USAF ACADEMY
State : CO
Zip : 80840-2502
Country : US
Telephone Number : 719-333-5142
Fax Number : 719-333-9774
Provider Business Practice Location Address
First Line : 2060 BRIARGATE PKWY STE 120
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-7699
Country : US
Telephone Number : 719-301-3800
Fax Number : 719-301-3855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2007
Last Update Date : 08/18/2025

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