Individual
JEFFERY RUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 N PARK AVE, 10 B, BRECKENRIDGE, CO 80424-8709
(970) 453-5631
Mailing address
400 N PARK AVE, 10 B, BRECKENRIDGE, CO 80424-8709
(970) 453-5631
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G22624
CA
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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