Individual
JASON GREGORY DORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
9595 PECOS ST, #196, THORNTON, CO 80260-5925
(303) 808-5699
Mailing address
9595 PECOS ST, #196, THORNTON, CO 80260-5925
(303) 808-5699
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8519
CO
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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