Individual
MRS. RENAE TABIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
569 32 RD STE 12, GRAND JUNCTION, CO 81504
(970) 523-3544
(970) 434-3422
Mailing address
300 S NEVADA AVE, MONTROSE, CO 81401-4273
(970) 249-7751
(970) 249-5029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0002974
CO
363A00000X
Physician Assistant
PA10005322
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95084517
—
CO
Enumeration date
12/21/2007
Last updated
06/27/2018
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