Individual
JORDAN JANAE COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2017017601
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2017017601
MO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
DR.0070815
CO
Other
Enumeration date
06/23/2017
Last updated
08/04/2023
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