Provider Demographics
NPI:1538159637
Name:JASKUNAS, JAMES M (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
Last Name:JASKUNAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9399 CROWN CREST BLVD
Mailing Address - Street 2:SUITE 401
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8506
Mailing Address - Country:US
Mailing Address - Phone:720-274-2544
Mailing Address - Fax:720-274-2541
Practice Address - Street 1:9399 CROWN CREST BLVD
Practice Address - Street 2:SUITE 401
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8506
Practice Address - Country:US
Practice Address - Phone:720-274-2544
Practice Address - Fax:720-274-2541
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2012-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO23981174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COD24370Medicare UPIN