Unknown Individual – Physician Assistant, NPI 1891771986
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
62, 1264, Grand Junction Way, Roseville, Placer County, California, United States
GRAND JUNCTION, CO 815020062
Phone: (970) 244-7050
Fax: (970) 255-1809
Type: Mailing
750, Wellington Avenue, Grand Junction, Mesa County, Colorado, 81501, United States
GRAND JUNCTION, CO 815016132
Phone: (970) 244-2457
Fax: (970) 255-1809
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 81502)
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