Individual
JANETTE LORENA S JAVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 CHURCH ST, SPRINGFIELD, CO 81073-1636
(719) 523-6628
(719) 523-4290
Mailing address
373 E 10TH AVE, SPRINGFIELD, CO 81073-1699
(719) 523-4501
(719) 523-4290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42267
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DR 42267
CO LICENSE NUMBER
CO
Enumeration date
11/07/2005
Last updated
03/22/2021
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