Provider Demographics
NPI:1972741627
Name:NEISLER, JAQMES W (MD)
Entity Type:Individual
Prefix:DR
First Name:JAQMES
Middle Name:W
Last Name:NEISLER
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 1:1490 S ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-2423
Mailing Address - Country:US
Mailing Address - Phone:303-282-6615
Mailing Address - Fax:
Practice Address - Street 1:1490 S ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-2423
Practice Address - Country:US
Practice Address - Phone:303-282-6615
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85227207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology