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NPI Code Detail

MEDICARE: DR. JAY L ADLER MD

MEDICARE: DR. JAY L ADLER 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
1207Q00000XFamily Medicine Physician22818CO

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 : 1659360238
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAY L ADLER MD
Provider Business Mailing Address
First Line : 2220 WEST COLORADO AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80903-1604
Country : US
Telephone Number : 719-473-6306
Fax Number : 719-473-0132
Provider Business Practice Location Address
First Line : 2 S CASCADE AVE
Second Line : SUITE140
City : COLORADO SPRINGS
State : CO
Zip : 80903-1624
Country : US
Telephone Number : 719-538-2950
Fax Number : 719-538-2996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 08/06/2012

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Directions to “ DR. JAY L ADLER MD” Practice Location

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