Individual
REBEKAH K MUNNIKHUYSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
(970) 731-0511
Mailing address
95 S PAGOSA BLVD, PAGOSA SPRINGS, CO 81147-8329
(970) 731-3700
(970) 731-0511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0008626
CO
363AS0400X
Surgical Physician Assistant
PA.0008626
CO
Other
Enumeration date
07/27/2022
Last updated
08/04/2025
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