Organization
COLORADO ENDOSCOPY CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN EDWARD JENSEN M.D. (PRINCIPAL)
(303) 532-2986
Entity
Organization
Contact information
Practice address
205 S MAIN ST, SUITE A, LONGMONT, CO 80501-1716
(303) 532-2986
(303) 776-4318
Mailing address
205 S MAIN ST, SUITE A, LONGMONT, CO 80501-1716
(303) 532-2986
(303) 776-4318
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
16N612
CO
Other
Enumeration date
01/17/2006
Last updated
01/23/2013
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