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NPI Code Detail

MEDICARE: DR. JARED JAMES EDDY M.D.

MEDICARE: DR. JARED JAMES EDDY 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
1207RI0200XInfectious Disease Physician63391CO

General Provider Information

NPI Number : 1275710857
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JARED JAMES EDDY M.D.
Provider Business Mailing Address
First Line : 1400 JACKSON ST
Second Line :
City : DENVER
State : CO
Zip : 80206-2762
Country : US
Telephone Number : 303-388-4461
Fax Number : 303-398-1211
Provider Business Practice Location Address
First Line : 1400 JACKSON ST
Second Line :
City : DENVER
State : CO
Zip : 80206-2762
Country : US
Telephone Number : 303-388-4461
Fax Number : 303-270-2206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2008
Last Update Date : 11/12/2020

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