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Individual

DR. JEREMY JACOB JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13402 W COAL MINE AVE STE 300, LITTLETON, CO 80127-5407
(303) 963-0566
(303) 963-0589
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0056892
CO
208D00000X
General Practice Physician
DR.0056892
CO
390200000X
Student in an Organized Health Care Education/Training Program
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9000199884
CO
Enumeration date
05/15/2013
Last updated
04/22/2026
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