Individual
JACQUELINE ANNE URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036.163726
IL
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0077157
CO
207RC0001X
Clinical Cardiac Electrophysiology Physician
DR.0077157
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL.0008165
CO
Other
Enumeration date
04/07/2020
Last updated
05/08/2026
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