Individual
TERRA BABCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
151 W LAKE ST STE 1500, FORT COLLINS, CO 80524
(970) 237-8200
(970) 237-8291
Mailing address
151 W LAKE ST STE 1500, FORT COLLINS, CO 80524-4124
(970) 237-8200
(970) 237-8291
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1337
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90478339
—
CO
Enumeration date
02/01/2007
Last updated
10/29/2018
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