Individual
RICHARD W JOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
799 E HAMPDEN AVE, SUITE 300, ENGLEWOOD, CO 80113-2700
(303) 493-5200
(720) 570-2012
Mailing address
PO BOX 60, ENGLEWOOD, CO 80151
(303) 493-5200
(720) 570-2012
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24851
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01248517
—
CO
Enumeration date
08/02/2006
Last updated
01/19/2011
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