Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0100X | Gastroenterologist | 202358 | LA |
Y | 207RG0100X | Gastroenterologist | DR.0065775 | CO |
NPI | 1043266349 |
---|---|
Provider Name | Dr. Jordan Jay Karlitz |
First Address | Aurora, CO 80042-0429 |
Second Address | Denver, CO 80204-4506 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 30/09/2021 |