Individual
MR. JOHN M JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
822 W 4TH ST, LEADVILLE, CO 80461-3861
(719) 486-0230
Mailing address
630 N ALVERNON WAY, SUITE 250, TUCSON, AZ 85711-1843
(520) 647-8854
(520) 647-8851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2747
AZ
363A00000X
Physician Assistant
PA1732
CO
Other
Enumeration date
05/24/2007
Last updated
11/12/2014
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