Individual
MR. JEFFREY EVAN ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
214 SIXTH STREET, SUITE 1, CRESTED BUTTE, CO 81224-1850
(970) 349-0321
(970) 349-2985
Mailing address
PO BOX 1850, CRESTED BUTTE, CO 81224-1850
(970) 349-0321
(970) 349-2985
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
969
CO
Other
Enumeration date
05/31/2005
Last updated
02/22/2010
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