Individual
JAN PAISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8282
Mailing address
PO BOX 110426, AURORA, CO 80042-0426
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
30771
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01307719
—
CO
Enumeration date
10/25/2006
Last updated
04/04/2013
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