Individual
DR. JAN JEWETT DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
661 LAFAYETTE ST, DENVER, CO 80218-3609
(303) 993-8756
Mailing address
661 LAFAYETTE ST, DENVER, CO 80218-3609
(303) 993-8756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
045772
GA
207Q00000X
Family Medicine Physician
Primary
DR. 0026087
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PAN8776509340
—
GA
Enumeration date
04/25/2006
Last updated
01/13/2014
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