MEDICARE: JOHN PAUL SPITTLER 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
1	207QS0010X	Sports Medicine (Family Medicine) Physician	0053049	CO
2	207Q00000X	Family Medicine Physician	0053049	CO

General Provider Information

NPI Number	:	1528383213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN PAUL SPITTLER MD

Provider Business Mailing Address
First Line	:	PO BOX 110429
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80042-0429
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3055 ROSLYN ST UNIT 100
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-3324
Country	:	US
Telephone Number	:	720-848-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2010
Last Update Date	:	11/04/2022

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