Individual
JILL ANN FATTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA.0003667
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0003667
CO
Other
Enumeration date
05/10/2013
Last updated
05/20/2013
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