MEDICARE: JASON P MARKLE D.O.

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	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	0055252	CO

General Provider Information

NPI Number	:	1689935371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON P MARKLE D.O.

Provider Business Mailing Address
First Line	:	403 SUMMIT BLVD UNIT 201
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-8253
Country	:	US
Telephone Number	:	303-429-6448
Fax Number	:

Provider Business Practice Location Address
First Line	:	403 SUMMIT BLVD UNIT 201
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-8253
Country	:	US
Telephone Number	:	303-429-6448
Fax Number	:

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

Provider Enumeration Date	:	05/30/2012
Last Update Date	:	07/21/2022

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