Provider Demographics
NPI:1770572950
Name:VOTH, JOHN W (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:W
Last Name:VOTH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 35380
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-5380
Mailing Address - Country:US
Mailing Address - Phone:719-538-2900
Mailing Address - Fax:719-538-2961
Practice Address - Street 1:15909 JACKSON CREEK PARKWAY
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132
Practice Address - Country:US
Practice Address - Phone:719-522-1133
Practice Address - Fax:719-481-1620
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2024-11-15
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Provider Licenses
StateLicense IDTaxonomies
CODR.0041704207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO70079501Medicaid
CO70079501Medicaid
CO501648Medicare ID - Type Unspecified