Jenna L Gantner
Medical Specialty
Professional ID
- NPI: 1699064873
- PECOS ID: 9335367218
- Enrollment ID: I20150924002286
- Credential(MD, DO, DPM):
- Medical School: Umdnj New Jersey School Of Osteo Medicine
- Medical School Graduation Year: 2011
Hospital Service
- Hospital CCN1: 060001
- Business Name (LBN)1: North Colorado Medical Center
- Hospital CCN2: 060076
- Business Name (LBN)2: Sterling Regional Medcenter
- Hospital CCN3: 060126
- Business Name (LBN)3: Banner Fort Collins Medical Center
Medical Practices
- Organization Name: Tlg Physicians Pllc
- Group Practice ID assigned by PECOS: 9537460845
- Number of Group Practice member: 130
Location
- Address1: 16320 W 64th Ave
- Address2: Centura Hlth Emer And Urgent
- City: Arvada
- State: Colorado
- Zip Code: 80007
- Phone Number: (303)925-4560
Medicare
- Medicare Assignment: Maybe
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):