Individual
DR. JAY C. NEUBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2355 FACULTY DR, US AIR FORCE, CO 80840-1805
(719) 333-0533
Mailing address
10 MDG, 4102 PINION DR., USAF ACADEMY, CO 80840
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
0101038954
VA
2083A0100X
Aerospace Medicine Physician
Primary
DR0054745
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0054745
MEDICAL LICENSE
CO
01
—
0101038954
MEDICAL LICENSE
VA
Enumeration date
08/22/2005
Last updated
12/23/2024
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