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NPI Code Detail

MEDICARE: JESSICA LYNN HADWIN PHILLIPS M.D.

MEDICARE: JESSICA LYNN HADWIN PHILLIPS 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
1207X00000XOrthopaedic Surgery PhysicianMD208675OR
2207XS0114XAdult Reconstructive Orthopaedic Surgery PhysicianDR.0066562CO
3207X00000XOrthopaedic Surgery PhysicianDR.0066562CO

General Provider Information

NPI Number : 1598127144
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA LYNN HADWIN PHILLIPS M.D.
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 : 1551 PROFESSIONAL LN UNIT 200
Second Line :
City : LONGMONT
State : CO
Zip : 80501-6964
Country : US
Telephone Number : 303-544-3820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2016
Last Update Date : 12/22/2025

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