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NPI 1043742687 · live from the CMS NPI Registry

Jaclyn Rae Altshuler, MD

Anesthesiology, Pediatric Anesthesiology in Aurora, CO. National Provider Identifier 1043742687, active.

NPI record

NPI1043742687 Type 1 · individual
StatusActive
Primary specialtyAnesthesiology, Pediatric Anesthesiology 207LP3000X
Practice location13123 E 16th Ave, Aurora, CO 80045
Practice phone720-777-1234
Mailing addressPo Box 110429, Aurora, CO 80042
EnumeratedApril 2, 2017
Last updatedOctober 24, 2023
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Anesthesiology207L00000X2022017848 (MO)
Anesthesiology, Pediatric Anesthesiology primary207LP3000XDR.0070979 (CO)
Anesthesiology, Pediatric Anesthesiology207LP3000X2022017848 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.