Individual
ALEXANDER THEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-7000
(303) 306-7753
Mailing address
PO BOX 912215, DENVER, CO 80291-2215
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085004702
IL
363A00000X
Physician Assistant
Primary
PA.0004638
CO
Other
Enumeration date
07/15/2013
Last updated
06/07/2016
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