Individual
THEA A WOJTKOWSKI KHAN-FAROOQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
(970) 623-8599
Mailing address
181 W MEADOW DR, STE 400, VAIL, CO 81657-5058
(970) 476-1100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
47982
CO
207X00000X
Orthopaedic Surgery Physician
MD00044171
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41208030
—
CO
05
—
8447393
—
WA
01
—
CO306351
MEDICARE PTAN
CO
Enumeration date
06/07/2006
Last updated
11/25/2020
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