Individual
JOHN D PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 MERCADO ST, STE 200, DURANGO, CO 81301-7308
(970) 382-9500
Mailing address
1 MERCADO ST, STE 200, DURANGO, CO 81301-7308
(970) 382-9500
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0007004
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA9104758
LICENSE
FL
Enumeration date
10/07/2008
Last updated
02/02/2023
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