Individual
DEBRA DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3744 S TIMBERLINE RD, SUITE 102, FORT COLLINS, CO 80525-4334
(970) 495-0506
(970) 495-0485
Mailing address
3744 S TIMBERLINE RD, SUITE 102, FORT COLLINS, CO 80525-4334
(970) 495-0506
(970) 495-0485
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
650
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026360700
—
NE
05
—
127688300
—
WY
Enumeration date
05/02/2007
Last updated
05/07/2014
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