Individual
DR. JESSE AARON MORTIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Mailing address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DR0059100
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/14/2014
Last updated
07/21/2022
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