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Organization

CO OSTEOPATHIC AND SPORTS

Active
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Organization

CO OSTEOPATHIC AND SPORTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JO ANN DOUGLAS D.O. (PARTNER)
(303) 988-1825
Entity
Organization

Contact information

Practice address
963 S KIPLING PKWY, LAKEWOOD, CO 80226-3946
(303) 988-1825
Mailing address
PO BOX 280113, LAKEWOOD, CO 80228-0113

Taxonomy

Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
41103
CO

Other

Enumeration date
04/09/2007
Last updated
09/12/2007
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