Individual
MS. MEG HARTIGAN GRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Mailing address
1925 MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0003470
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16435273
—
CO
Enumeration date
07/06/2012
Last updated
03/28/2016
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