Provider Demographics
NPI:1578600839
Name:STRAHAN, JAMISON (MD)
Entity Type:Individual
Prefix:
First Name:JAMISON
Middle Name:
Last Name:STRAHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12645 E EUCLID DR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-6437
Mailing Address - Country:US
Mailing Address - Phone:303-493-1910
Mailing Address - Fax:
Practice Address - Street 1:12645 E EUCLID DR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-6437
Practice Address - Country:US
Practice Address - Phone:303-493-1910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2023-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR44802207ND0101X
PAMD441041207ND0101X
VA0101246799207ND0101X
WV24293207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery