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NPI Code Detail

MEDICARE: DR. JORDAN KLEIN M.D.

MEDICARE: DR. JORDAN KLEIN 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
1174400000XSpecialist20776CO

General Provider Information

NPI Number : 1689788960
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JORDAN KLEIN M.D.
Provider Business Mailing Address
First Line : 919 JASMINE ST
Second Line : SUITE 100
City : DENVER
State : CO
Zip : 80220-4588
Country : US
Telephone Number : 303-388-4256
Fax Number : 303-388-7802
Provider Business Practice Location Address
First Line : 919 JASMINE ST
Second Line : SUITE 100
City : DENVER
State : CO
Zip : 80220-4588
Country : US
Telephone Number : 303-388-4256
Fax Number : 303-388-7802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JORDAN KLEIN M.D.” Practice Location

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