Individual
JUSTIN JEVICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 E BOULDER ST # 2508, COLORADO SPRINGS, CO 80909-5533
(719) 365-1292
(719) 365-6997
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2403
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
447726
CO
Other
Enumeration date
04/11/2019
Last updated
11/08/2023
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