Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 45630 | CO |
NPI | 1194715805 |
---|---|
Provider Name | Dr. Jefferson W. Jex |
First Address | Bethesda, MD 20889-0004 |
Second Address | Bethesda, MD 20889-0004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 15/05/2018 |