Rebecca Jean Bontrager PA

NPI 1134202617 - Physician Assistant - 363A00000X

NPI Details
NPI 1134202617
Gender Female
Enumeration Date 10/20/2006
Last Updated 11/18/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1411 S POTOMAC ST
SUITE 400
AURORA CO, 80012-4536, US
Phone (303) 695-6060
Fax (303) 369-7776
Business Location
1411 S POTOMAC ST
SUITE 400
AURORA CO, 80012-4536, US
Phone (303) 695-6060
Fax (303) 369-7776
Toxanomy
Taxonomy Code 363A00000X
License State Colorado
License Number 2580
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According to our database, Rebecca Jean Bontrager PA NPI is 1134202617, taxonomy code is 363A00000X and license number is 2580, license state is located at Colorado. Rebecca Jean Bontrager PA physically located at 1411 S Potomac St, Aurora CO, 80012-4536. NPI Number Rebecca Jean Bontrager PA has the Individual type.

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1134202617 NPI number is provided on an as is basis without warranty of any kind. 1134202617 is maintained by the National Plan & Provider Enumeration System. The contents of Rebecca Jean Bontrager PA are for informational purposes only.