Individual
JAVIER ALFONSO JARAMILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6025 DELMONICO DRIVE, COLORADO SPRINGS, CO 80909
(719) 535-0648
(719) 262-5574
Mailing address
2 SOUTH CASCADE AVENUE, SUITE 140, COLORADO SPRINGS, CO 80903-1604
(719) 538-2900
(719) 538-2961
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004145
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98255312
—
CO
Enumeration date
11/04/2014
Last updated
08/18/2015
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