Individual
JONATHAN P DEGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11700W 2ND PL 280, LAKEWOOD, CO 80228-1717
(720) 321-8680
Mailing address
11700W 2ND PL 280, LAKEWOOD, CO 80228-1717
(720) 321-8680
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0004374
CO
363AS0400X
Surgical Physician Assistant
PA001288
ME
Other
Enumeration date
09/22/2011
Last updated
10/05/2015
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