Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 8600 | CO |
NPI | 1043405483 |
---|---|
Provider Name | Dr. James Leo Jostes |
First Address | Denver, CO 80206-4657 |
Second Address | Denver, CO 80206-4657 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2007 |
Last Update Date | 12/09/2007 |