Organization
JONATHON J DORMISH DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHON J DORMISH DPM (PRESIDENT)
(303) 364-3222
Entity
Organization
Contact information
Practice address
13701 E MISSISSIPPI AVE, SUITE 200, AURORA, CO 80012-6141
(303) 364-3222
Mailing address
3464 S WILLOW ST, SUITE 124, DENVER, CO 80231-4531
(303) 755-2900
(303) 755-0404
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41629353
—
CO
01
—
DE9870
RAILROAD MEDICARE
CO
Enumeration date
06/10/2006
Last updated
10/30/2007
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