Individual
LANDON RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4840 LARIMER PKWY STE 4846, JOHNSTOWN, CO 80534-9012
(970) 624-2830
(970) 624-2836
Mailing address
4840 LARIMER PKWY STE 4846, JOHNSTOWN, CO 80534-9012
(970) 624-2830
(970) 624-2836
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0002905
CO
363AM0700X
Medical Physician Assistant
PA.0002905
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21058075
—
CO
Enumeration date
05/17/2006
Last updated
06/01/2021
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