Individual
DANIEL FETTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5387 MANHATTAN CIR STE 201, BOULDER, CO 80303-4283
(303) 494-2707
Mailing address
10449 GARLAND DR, WESTMINSTER, CO 80021-7355
(303) 653-4375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0006373
CO
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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