Individual
DR. JEREMY D NUSSBAUMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8000 E MAPLEWOOD AVE STE 200, GREENWOOD VILLAGE, CO 80111-4727
(303) 438-3999
(720) 439-9500
Mailing address
8000 E MAPLEWOOD AVE STE 200, GREENWOOD VILLAGE, CO 80111-4727
(303) 438-3999
(720) 439-9500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
42375
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54302871
—
CO
Enumeration date
01/20/2006
Last updated
01/09/2020
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