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Individual

DR. JEFFREY D MANUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2045 N FRANKLIN ST, DENVER, CO 80205-5437
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
45568
CO
207R00000X
Internal Medicine Physician
0101242961
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0101242961
L;ICENSE
VA
01
020242
KAISER COMMERCIAL NUMBER
CO
05
71034323
CO
Enumeration date
05/09/2008
Last updated
08/30/2021
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