MEDICARE: JERRY ARAGON

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	171WH0202X	Home Modifications Contractor	9634	CO

General Provider Information

NPI Number	:	1730549825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JERRY ARAGON

Provider Business Mailing Address
First Line	:	2551 W 52ND AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-1645
Country	:	US
Telephone Number	:	303-480-0101
Fax Number	:	303-480-0263

Provider Business Practice Location Address
First Line	:	2551 W 52ND AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80221-1645
Country	:	US
Telephone Number	:	303-480-0101
Fax Number	:	303-480-0263

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

Provider Enumeration Date	:	03/02/2016
Last Update Date	:	03/02/2016

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Directions to “ JERRY ARAGON ” Practice Location

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