Individual
AMANDA M MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1715 IRON HORSE DR STE 100, LONGMONT, CO 80501-9617
(720) 494-4700
(720) 494-4706
Mailing address
1715 IRON HORSE DR STE 100, LONGMONT, CO 80501-9617
(720) 494-4700
(720) 494-4706
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0002872
CO
Other
Enumeration date
04/01/2008
Last updated
02/27/2020
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