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NPI Code Detail

MEDICARE: TAMMRON JAY KLEEMAN MD

MEDICARE: TAMMRON JAY KLEEMAN 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
1207XX0004XOrthopaedic Foot and Ankle Surgery PhysicianDR.0064038CO

General Provider Information

NPI Number : 1760481519
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMRON JAY KLEEMAN MD
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11820 DESTINATION DR
Second Line :
City : BROOMFIELD
State : CO
Zip : 80021-2518
Country : US
Telephone Number : 720-848-0000
Fax Number : 203-847-1940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2005
Last Update Date : 11/09/2020

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