Individual
JENNIFER LYN WALL YAMAZAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10107 RIDGEGATE PKWY STE 360, LONE TREE, CO 80124-5399
(303) 795-2345
Mailing address
3205 N ACADEMY BLVD, STE 130, COLORADO SPRINGS, CO 80917-5147
(719) 632-5700
(719) 632-7837
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DR.0056913
CO
Other
Enumeration date
05/30/2008
Last updated
04/06/2025
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