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NPI Code Detail

MEDICARE: MR. JEFFREY J ROCKWELL MD

MEDICARE:  MR. JEFFREY J ROCKWELL  MD
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
1207L00000XAnesthesiology PhysicianK1027TX
2207L00000XAnesthesiology PhysicianDR0060456CO

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 : 1336109420
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JEFFREY J ROCKWELL MD
Provider Business Mailing Address
First Line : PO BOX 913001
Second Line :
City : DENVER
State : CO
Zip : 80291-3001
Country : US
Telephone Number : 817-334-0530
Fax Number : 817-877-0350
Provider Business Practice Location Address
First Line : 320 BEARD CREEK ROAD
Second Line : SUITE 100
City : EDWARDS
State : CO
Zip : 81632-6426
Country : US
Telephone Number : 970-569-7400
Fax Number : 817-877-0350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 01/09/2019

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Directions to “ MR. JEFFREY J ROCKWELL MD” Practice Location

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