Individual
JONATHAN ANDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(303) 202-1280
(434) 922-4118
Mailing address
PO BOX 5788, DENVER, CO 80217-5788
(303) 202-1280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
53415
CO
Other
Enumeration date
04/05/2011
Last updated
07/09/2014
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