Individual
MR. ANDREW DUFFIELD HILDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1551 PROFESSIONAL LN, SUITE 200, LONGMONT, CO 80501-6972
(303) 772-1600
(303) 772-9317
Mailing address
1551 PROFESSIONAL LN, SUITE 200, LONGMONT, CO 80501-6972
(303) 772-1600
(303) 772-9317
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3169
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43274005
—
CO
Enumeration date
03/23/2011
Last updated
04/04/2012
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