Search › Colorado › 208000000X
Jesse Mortimore, D.O
NPI 1497174940 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1925 Mountain View Ave
Longmont, CO 80501 - Phone
- (303) 776-1234
- Fax
- (720) 494-3107
- Organisation at this address
- Longmont Clinic Lab
Poudre Valley Medical Group, Llc
University Physicians IncorporatedInferred from a shared address, not stated in the registry. - Clinicians at this address
- 92
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Also registered as
- 390200000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado