Individual
MR. VICTOR PALOMARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3850 N GRANT AVE, SUITE 200, LOVELAND, CO 80538-8431
(970) 624-5170
(970) 669-7521
Mailing address
3850 N GRANT AVE, SUITE 200, LOVELAND, CO 80538-8431
(970) 624-5170
(970) 669-7521
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
611
CO
363AM0700X
Medical Physician Assistant
611
CO
363AS0400X
Surgical Physician Assistant
611
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11424770
—
CO
05
—
127998000
—
WY
Enumeration date
01/13/2006
Last updated
06/12/2014
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