Individual
DR. JAMES EUGENE JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1181 WYNDEMERE CIR, LONGMONT, CO 80501-2321
(303) 651-5111
Mailing address
5406 CANNON MOUNTAIN WAY, LONGMONT, CO 80503-2704
(303) 812-2288
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
40425
CO
207L00000X
Anesthesiology Physician
Primary
40425
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81105819
—
CO
Enumeration date
07/11/2006
Last updated
06/25/2012
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