Individual
DR. JODIE KAY MESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8540 SCARBOROUGH DR, SUITE 100, COLORADO SPRINGS, CO 80920-7502
(719) 955-4200
(719) 365-7667
Mailing address
8540 SCARBOROUGH DR, SUITE 100, COLORADO SPRINGS, CO 80920-7502
(719) 955-4200
(719) 365-7667
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR-54111
CO
207Q00000X
Family Medicine Physician
R-9579
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58052348
—
CO
Enumeration date
06/09/2008
Last updated
08/31/2015
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