Provider Demographics
NPI:1487888541
Name:SWEDLOFF, JAY ALAN (DO)
Entity type:Individual
Prefix:DR
First Name:JAY
Middle Name:ALAN
Last Name:SWEDLOFF
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 1:1755 FOOTHILLS DR. S.
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-9167
Mailing Address - Country:US
Mailing Address - Phone:303-526-4090
Mailing Address - Fax:
Practice Address - Street 1:1755 FOOTHILLS DR. S.
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-9167
Practice Address - Country:US
Practice Address - Phone:303-526-4090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO18260207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine