Individual
GABRIEL DELEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2373 G RD STE 280, GRAND JUNCTION, CO 81505-1006
(970) 243-9340
Mailing address
2373 G RD STE 280, GRAND JUNCTION, CO 81505-1006
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154361046
—
CO
Enumeration date
09/30/2018
Last updated
06/24/2022
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