Individual
REBECCA JEAN BONTRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1411 S POTOMAC ST, SUITE 400, AURORA, CO 80012-4536
(303) 695-6060
(303) 369-7776
Mailing address
1411 S POTOMAC ST, SUITE 400, AURORA, CO 80012-4536
(303) 695-6060
(303) 369-7776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2580
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11576766
—
CO
Enumeration date
10/20/2006
Last updated
11/18/2014
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