Individual
TIMOTHY JARDELEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, COLORADO SPRINGS, CO 80913-4604
(719) 526-7889
Mailing address
1650 COCHRANE CIR, ANESTHESIOLOGY SERVICE, FT. CARSON, CO 80913
(719) 526-7889
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
117636
MT
207L00000X
Anesthesiology Physician
Primary
23960
NE
207L00000X
Anesthesiology Physician
MD215981
OR
Other
Enumeration date
03/22/2007
Last updated
07/20/2023
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