Individual
JAMES FRED REPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22797
CO
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01227974
—
CO
01
—
RE75491
BLUE CROSS OF COLORADO
CO
Enumeration date
07/08/2005
Last updated
01/11/2022
Update your record
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