Individual
DR. JEANNIE M O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
481
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01004811
—
CO
01
—
021731
KAISER COMMERCIAL NUMBER
CO
Enumeration date
10/06/2006
Last updated
06/19/2021
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