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Individual

JASON M BELLOWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8300 W 38TH AVE, DEPARTMENT OF EMERGENCY MEDICINE, WHEAT RIDGE, CO 80033-6005
(303) 467-4812
Mailing address
2101 MARKET ST, #224, DENVER, CO 80205-2004

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
49530
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037299200
DC
05
408581700
MD
01
75859902
BLUE SHIELD
MD
01
J8790001
BLUE SHIELD
DC
01
P0030330
RAILROAD MED
DC
Enumeration date
12/14/2005
Last updated
02/21/2011
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