Individual
JENNIFER R GUCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(720) 536-7900
Mailing address
566 S PENNSYLVANIA ST, ST, DENVER, CO 80209-4112
(303) 722-1566
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14633
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011169
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
07/08/2007
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