Individual
HEATHER FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2570 PATTERSON RD, GRAND JUNCTION, CO 81505-1438
(970) 298-6601
(970) 298-6641
Mailing address
2503 FORESIGHT CIR, GRAND JUNCTION, CO 81505-1139
(970) 242-2660
(970) 242-0080
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAL1916
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74307274
—
CO
01
—
CH667362
BLUE CROSS BLUE SHIELD
CO
01
—
P00119102
RAIL ROAD MEDICARE
CO
Enumeration date
04/04/2006
Last updated
10/13/2021
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