Individual
TERRI THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
0018 COUNTY ROAD 1030, SUITE 125, FRISCO, CO 80443
(970) 668-3633
(970) 668-5052
Mailing address
PO BOX 1303, FRISCO, CO 80443-1303
(970) 668-3633
(970) 668-4406
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1637
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96874279
—
CO
Enumeration date
06/24/2005
Last updated
07/08/2007
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