Individual
BRIAN KEVIN ELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4674 SNOW MESA DR STE 200, FORT COLLINS, CO 80528-8614
(970) 266-3650
(970) 266-3660
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4323
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0003611
CO
363AM0700X
Medical Physician Assistant
TL404
WY
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.0002611
PHYSICIAN ASSISTANT
CO
Enumeration date
11/10/2006
Last updated
05/10/2023
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