Kara Leah Ditullio PA C

NPI 1063495042 - Physician Assistant - 363A00000X

NPI Details
NPI 1063495042
Gender Female
Enumeration Date 11/23/2005
Last Updated 10/16/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4674 SNOW MESA DR
SUITE140
FORT COLLINS CO, 80528-8615, US
Phone (970) 482-0213
Fax
Business Location
4674 SNOW MESA DR
SUITE140
FORT COLLINS CO, 80528-8615, US
Phone (970) 482-0213
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Kara Leah Ditullio PA C NPI is 1063495042, taxonomy code is 363A00000X Kara Leah Ditullio PA C physically located at 4674 Snow Mesa Dr, Fort Collins CO, 80528-8615. NPI Number Kara Leah Ditullio PA C has the Individual type.

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1063495042 NPI number is provided on an as is basis without warranty of any kind. 1063495042 is maintained by the National Plan & Provider Enumeration System. The contents of Kara Leah Ditullio PA C are for informational purposes only.