Individual
DR. JONATHAN DATAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 HALE PKWY STE 340, DENVER, CO 80220-4024
(303) 781-4485
(720) 274-0064
Mailing address
PO BOX 17528, DENVER, CO 80217-0528
(405) 681-3393
(405) 384-6793
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036149619
IL
Other
Enumeration date
04/09/2015
Last updated
07/23/2020
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