Individual
KATHERINE BERDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2121 E HARMONY RD UNIT 170, FORT COLLINS, CO 80528
(970) 493-6337
(970) 493-3528
Mailing address
2121 E HARMONY RD UNIT 170, FORT COLLINS, CO 80528-3413
(970) 493-6337
(970) 493-3528
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
013102
NY
363AS0400X
Surgical Physician Assistant
PA.0005386
CO
363AS0400X
Surgical Physician Assistant
PA08433
TX
Other
Enumeration date
02/12/2009
Last updated
12/09/2020
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