JASON ANDREW CANNELL

BOULDER, CO
NPI1841279940
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CO  DR.0050333)
Additional Taxonomies207Q00000X Family Medicine
(Licence: HI  DOS-1087)
Enumeration Date2006-01-17
Last Update Date2017-11-09
Business Address
Dr. JASON ANDREW CANNELL DO
1755 48TH ST SUITE 200
BOULDER, CO 80301-2711
Phone number: 303-415-7450
Mailing Address
Dr. JASON ANDREW CANNELL DO
5450 WESTERN AVE
BOULDER, CO 80301-2709
Phone number: 303-415-7450