IndividualActive
Jack Oconnor, RD
NPI 1922749514 · Sports Dietetics Nutrition Registered Dietitian · Denver, CO
Provider details
- NPI number
- 1922749514
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
3215 Tejon St Apt 431
Denver, CO 80211-4484
Phone: (479) 616-6262
Approximate (ZIP-level) locationGet directions
Mailing address
3215 Tejon St Apt 431
Denver, CO 80211-4484
Registry dates
- Enumerated
- 2022-04-06
- Last updated
- 2022-04-06
- Certified
- 2022-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.