Individual
TIMOTHY JARED RESEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
181 W MEADOW DR STE 400, VAIL, CO 81657-5058
(970) 476-1100
(970) 479-5835
Mailing address
181 W MEADOW DR, STE 400, VAIL, CO 81657-5058
(970) 476-1100
(970) 479-5835
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2692
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41126564
—
CO
Enumeration date
10/31/2008
Last updated
04/02/2020
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