Provider Demographics
NPI:1851334239
Name:ARNOLD, JENNIFER WEDEL (MD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:WEDEL
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:5161 E ARAPAHOE RD
Mailing Address - Street 2:#290
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2387
Mailing Address - Country:US
Mailing Address - Phone:720-488-0055
Mailing Address - Fax:720-488-3955
Practice Address - Street 1:5161 E ARAPAHOE RD
Practice Address - Street 2:#290
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-2387
Practice Address - Country:US
Practice Address - Phone:720-488-0055
Practice Address - Fax:720-488-3955
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2008-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO27751207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01277573Medicaid
CO01277573Medicaid
COC800159Medicare PIN