Provider Demographics
NPI:1689603136
Name:GARRAMONE, JON ALLEN (MD)
Entity Type:Individual
Prefix:
First Name:JON
Middle Name:ALLEN
Last Name:GARRAMONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6801 W 20TH ST
Mailing Address - Street 2:STE 201
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634
Mailing Address - Country:US
Mailing Address - Phone:970-330-1090
Mailing Address - Fax:970-330-2925
Practice Address - Street 1:799 E HAMPDEN AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2700
Practice Address - Country:US
Practice Address - Phone:303-789-2663
Practice Address - Fax:303-788-4871
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO43017207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO56532873Medicaid
CO56532873Medicaid
803016Medicare PIN