Individual
MISS EMILY JEANNE HAVENER BILLSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 MERCADO ST, STE 202, DURANGO, CO 81301-7306
(970) 247-5362
(970) 259-6045
Mailing address
1 MERCADO ST, STE 202, DURANGO, CO 81301-7306
(970) 247-5362
(970) 259-6045
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004297
CO
363A00000X
Physician Assistant
PA2015-0033
NM
Other
Enumeration date
07/01/2015
Last updated
12/12/2017
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