Provider Demographics
NPI:1841456688
Name:ARTHUR, JEFFREY ALEXANDER (DO)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:ALEXANDER
Last Name:ARTHUR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 S POTOMAC ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4536
Mailing Address - Country:US
Mailing Address - Phone:303-695-6060
Mailing Address - Fax:303-369-7776
Practice Address - Street 1:1411 S POTOMAC ST
Practice Address - Street 2:SUITE 400
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4536
Practice Address - Country:US
Practice Address - Phone:303-695-6060
Practice Address - Fax:303-369-7776
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO49912207X00000X
OH58.001852390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO59650516Medicaid
OH58.001852OtherOHIO LICENSE
CO59650516Medicaid