Provider Demographics
NPI:1396850277
Name:ZONCA, JONATHAN D (MD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:D
Last Name:ZONCA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1707 COLE BLVD
Mailing Address - Street 2:STE #100
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-3220
Mailing Address - Country:US
Mailing Address - Phone:303-713-8016
Mailing Address - Fax:303-763-5495
Practice Address - Street 1:4500 E 9TH AVE
Practice Address - Street 2:SUITE 320
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3911
Practice Address - Country:US
Practice Address - Phone:303-322-0212
Practice Address - Fax:303-322-0208
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2024-02-13
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Provider Licenses
StateLicense IDTaxonomies
CO38973207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO20103841Medicaid
COAAA2779Medicare PIN
CO20103841Medicaid
COAAA2779Medicare PIN