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Individual

JOSEPH MATTHEW PADDOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-S

Contact information

Practice address
2121 E HARMONY RD UNIT 100, FORT COLLINS, CO 80528-3401
(970) 221-1000
(970) 297-6886
Mailing address
2121 E HARMONY RD UNIT 100, FORT COLLINS, CO 80528-3401
(970) 624-2423
(970) 490-4155

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0009648
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
05/14/2024
Last updated
05/07/2026
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