Individual
ANNA GRACE ECKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 E. ELIZABETH ST, UNIT G, SUITE 2, FORT COLLINS, CO 80524-8052
(970) 493-9193
Mailing address
1120 E. ELIZABETH ST, UNIT G, SUITE 2, FORT COLLINS, CO 80524-3037
(970) 493-9193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006905
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/01/2020
Last updated
11/02/2021
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