Provider Demographics
NPI:1982705182
Name:NORTON, JADE PAUL (DO)
Entity Type:Individual
Prefix:DR
First Name:JADE
Middle Name:PAUL
Last Name:NORTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:PO BOX 560825
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80256-0825
Mailing Address - Country:US
Mailing Address - Phone:719-595-7580
Mailing Address - Fax:719-545-0176
Practice Address - Street 1:1600 N. GRAND AVE.
Practice Address - Street 2:STE 300
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81003
Practice Address - Country:US
Practice Address - Phone:719-562-2070
Practice Address - Fax:719-562-2088
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2018-05-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO35634207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC807340Medicare UPIN