Individual
JAYME R TISHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1615 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5788
(719) 473-6155
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
0101251992
VA
207RG0100X
Gastroenterology Physician
Primary
DR.0063222
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000182186
—
CO
Enumeration date
05/06/2008
Last updated
04/16/2026
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