Individual
CHRISTOPHER MICHAEL VALLEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
(303) 519-3268
Mailing address
1455 DIXON AVE, LAFAYETTE, CO 80026-8879
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006884
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000196429
—
CO
Enumeration date
07/14/2021
Last updated
07/18/2023
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