Individual
MIRIAM CHRISTINE ROLLASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
810 E 3RD ST, DURANGO, CO 81301-5728
(970) 764-1790
(970) 375-7927
Mailing address
619 E GOLF PL, PAGOSA SPRINGS, CO 81147-9313
(605) 850-3924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006450
CO
363A00000X
Physician Assistant
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Other
Enumeration date
09/28/2020
Last updated
01/13/2021
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