Individual
JUDETH JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 421-5077
Mailing address
4803 WARD RD, WHEAT RIDGE, CO 80033-1902
(303) 421-5077
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27289
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004007
KAISER-COMMERCIAL NUMBER
—
05
—
01272897
—
CO
Enumeration date
02/16/2007
Last updated
12/03/2007
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