Individual
MR. JUSTIN MATTHEW PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
302 3RD ST SE # SUIRE150, LOVELAND, CO 80537-6419
(970) 669-4855
(970) 669-7389
Mailing address
2930 11TH AVE, EVANS, CO 80620-1011
(970) 353-9403
(970) 353-5884
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0006533
CO
Other
Enumeration date
07/30/2015
Last updated
09/13/2021
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