Gregory A Freshwater PA-C

NPI 1043393978 - Physician Assistant - 363A00000X

NPI Details
NPI 1043393978
Gender Male
Enumeration Date 10/23/2006
Last Updated 04/04/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
710 WELLINGTON AVE
GRAND JUNCTION CO, 81501-6123, US
Phone (970) 298-7106
Fax (970) 298-7177
Business Location
710 WELLINGTON AVE
PO BOX 62
GRAND JUNCTION CO, 81501-6123, US
Phone (970) 298-7106
Fax (970) 298-7177
Toxanomy
Taxonomy Code 363A00000X
License State Colorado
License Number 2205
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According to our database, Gregory A Freshwater PA-C NPI is 1043393978, taxonomy code is 363A00000X and license number is 2205, license state is located at Colorado. Gregory A Freshwater PA-C physically located at 710 Wellington Ave, Grand Junction CO, 81501-6123. NPI Number Gregory A Freshwater PA-C has the Individual type.

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1043393978 NPI number is provided on an as is basis without warranty of any kind. 1043393978 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory A Freshwater PA-C are for informational purposes only.