Individual
JEFFREY A AMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
205 S GARRISON ST, LAKEWOOD, CO 80226-2843
(303) 237-2779
(303) 237-4428
Mailing address
205 S GARRISON ST, LAKEWOOD, CO 80226-2843
(303) 237-2779
(303) 237-4428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35488
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01354885
—
CO
01
—
080124824
RR MEDICARE
—
01
—
80226A003
TRICARE
—
Enumeration date
01/31/2006
Last updated
12/29/2008
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