Individual
DR. SUSAN RAE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1400 E BOULDER ST, STE 700, COLORADO SPRINGS, CO 80909-5533
(719) 635-7172
(719) 444-3759
Mailing address
8890 N UNION BLVD, STE 160, COLORADO SPRINGS, CO 80920-7799
(719) 365-9950
(719) 365-9969
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
23755
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01237661
—
CO
Enumeration date
09/26/2005
Last updated
08/21/2013
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