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Individual

JEREMY LAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
559 VINCENT ST, COLORADO SPRINGS, CO 80914-1541
(719) 556-1306
Mailing address
PO BOX 1289, TAMPA, FL 33601-1289
(813) 844-4300
(813) 844-1909

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
01/21/2021
Last updated
10/01/2025
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