| Jettison, Inc. | |
|
600 17th Street Denver CO 80202-5428 | |
| (303) 260-6400 | |
| Not Available |
| Full Name | Jettison, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 17th Street, Denver, Colorado |
| Authorized Official Name and Position | Robert Ayala (PRESIDENT) |
| Authorized Official Contact | 2123210477 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jettison, Inc. 45 Portland Rd Ste 7-226 Kennebunk ME 04043-6660 Ph: (207) 292-6261 | Jettison, Inc. 600 17th Street Denver CO 80202-5428 Ph: (303) 260-6400 |
| NPI Number | 1184384257 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184384257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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