Individual
DR. JERRY LEE ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 848-0000
Mailing address
3691 RUTGER AVE, ST. LOUIS, MO 63110-2515
(314) 977-6828
(314) 977-6872
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R7533
MO
2080P0206X
Pediatric Gastroenterology Physician
Primary
R7533
MO
Other
Enumeration date
08/22/2006
Last updated
05/15/2019
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