Individual
MR. CHARLES HART JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3555 LUTHERAN PKWY, SUITE 160, WHEAT RIDGE, CO 80033-6036
(303) 422-3727
(303) 467-9354
Mailing address
3555 LUTHERAN PKWY, SUITE 160, WHEAT RIDGE, CO 80033-6036
(303) 422-3727
(303) 467-9354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20612
CO
207R00000X
Internal Medicine Physician
7815
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02106127
—
CO
Enumeration date
11/27/2006
Last updated
07/08/2007
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