Individual
JAMES R JETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 JACKSON ST, MEDICAL STAFF OFFICE, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2174
Mailing address
1400 JACKSON ST, MEDICAL STAFF OFFICE, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49412
CO
207RP1001X
Pulmonary Disease Physician
Primary
21909
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290002094
RAILROAD MEDICARE
MN
05
—
66100283
—
CO
Enumeration date
12/21/2005
Last updated
02/28/2011
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