Individual
JASON MATTHEW TARNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907
(719) 776-8040
(719) 776-8050
Mailing address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 776-8040
(719) 776-8050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
50369
CO
207QS0010X
Sports Medicine (Family Medicine) Physician
50369
CO
208M00000X
Hospitalist Physician
Primary
DR.0050369
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51705729
—
CO
Enumeration date
01/11/2007
Last updated
07/09/2018
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