Individual
JAMIE VIRDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(210) 556-8446
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5824
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1194841
CO
Other
Enumeration date
03/04/2022
Last updated
07/07/2022
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