Individual
DR. JASON RICHARD SELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11600 W 2ND PL, ST. ANTHONY HOSPITAL, LAKEWOOD, CO 80228-1527
(720) 321-4161
(720) 321-4165
Mailing address
PO BOX 5788, DENVER, CO 80217-5788
(303) 202-1280
(303) 202-1281
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
47757
CO
207P00000X
Emergency Medicine Physician
80912
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025360000
—
NE
01
—
20326023101
PACIFICARE SECURE HORIZONS
—
05
—
60908572
—
CO
05
—
803190
—
AZ
01
—
P00790355
RR MEDICARE
CO
Enumeration date
04/03/2008
Last updated
08/14/2013
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