Individual
MR. ERIK W FEDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
3550 LUTHERAN PARKWAY, SUITE 200, WHEAT RIDGE, CO 80033
(303) 425-9900
(303) 425-0883
Mailing address
3550 LUTHERAN PARKWAY, SUITE 200, WHEAT RIDGE, CO 80033
(303) 425-9900
(303) 425-0883
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1532
PA LICENSE
CO
Enumeration date
10/15/2008
Last updated
03/07/2023
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