Individual
JASON D MCCARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6767 29TH ST FL 2, GREELEY, CO 80634-5474
(970) 224-9102
(970) 224-9112
Mailing address
6767 29TH ST FL 2, GREELEY, CO 80634-5474
(970) 224-9102
(970) 224-9112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
47765
CO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
47765
CO
207RP1001X
Pulmonary Disease Physician
Primary
47765
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
88587576
—
CO
Enumeration date
01/26/2007
Last updated
10/24/2019
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