Individual
WARREN JAEGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
550 HIGHWAY 105, MONUMENT, CO 80132-9125
(719) 488-9860
(719) 488-9868
Mailing address
550 HIGHWAY 105, MONUMENT, CO 80132-9125
(719) 488-9860
(719) 488-9868
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29381
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01293810
—
CO
Enumeration date
05/11/2006
Last updated
07/08/2007
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