Individual
BRIAN ANDREW JAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14701 E EXPOSITION AVE, AURORA, CO 80012-2623
(303) 614-7479
(303) 614-7475
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
41528
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00351270
—
CO
01
—
018313
KAISER-COMMERCIAL NUMBER
CO
Enumeration date
10/06/2005
Last updated
06/21/2021
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