Individual
PAIGE DEKKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
555 PROSPECT AVE, ESTES PARK, CO 80517-6312
(970) 586-2317
Mailing address
555 PROSPECT AVE, ESTES PARK, CO 80517-6312
(970) 586-2317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR0065995
CO
207Q00000X
Family Medicine Physician
OP60971115
WA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
04/10/2017
Last updated
07/14/2022
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