Individual
THERESA JILL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA
Contact information
Practice address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-8209
(970) 298-2127
(970) 298-0774
Mailing address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-8209
(970) 270-2481
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225912
ARRT
—
Enumeration date
11/15/2021
Last updated
11/15/2021
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