MEDICARE: DR. JENNIFER A ENGLAND 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	208000000X	Pediatrics Physician	41519	CO

General Provider Information

NPI Number	:	1619055530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER A ENGLAND MD

Provider Business Mailing Address
First Line	:	2702 VALENTIA ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80238-2520
Country	:	US
Telephone Number	:	303-292-3143
Fax Number	:	303-377-9954

Provider Business Practice Location Address
First Line	:	210 UNIVERSITY BLVD
Second Line	:	SUITE 490
City	:	DENVER
State	:	CO
Zip	:	80206-4616
Country	:	US
Telephone Number	:	303-377-9663
Fax Number	:	303-377-9954

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/08/2007

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