Individual
JARED SHOJI PATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 E KEN PRATT BLVD, LONGMONT, CO 80504-5311
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
57823
AZ
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
DR.0064635
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/16/2014
Last updated
08/28/2020
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