Individual
MR. TODD DAVID OUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
(970) 255-6670
Mailing address
627 25 1/2 RD, GRAND JUNCTION, CO 81505-6401
(970) 242-3535
(970) 255-6670
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA2319
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17652367
—
CO
01
—
P00376034
RAILROAD MEDICARE
CO
Enumeration date
09/19/2006
Last updated
11/12/2007
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