Individual
JORDAN MUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2551 W. 84TH AVE., EMERGENCY DEPARTMENT, WESTMINSTER, CO 80030
(303) 426-2020
(303) 426-2164
Mailing address
550 S WADSWORTH BLVD, SUITE 410, LAKEWOOD, CO 80226-3111
(303) 202-1280
(303) 202-1281
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2610
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13922742
—
CO
01
—
P00806240
RR MEDICARE
CO
Enumeration date
09/23/2008
Last updated
08/20/2014
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