Individual
HEATHER MARIA GILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
181 W MEADOW DR STE 400, VAIL, CO 81657-5058
(970) 476-1100
Mailing address
PO BOX 911244, DENVER, CO 80291-1244
(888) 269-7001
(303) 764-6640
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0002881
CO
363AS0400X
Surgical Physician Assistant
PA04141
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y1729
BLUE CROSS BLUE SHIELD
TX
01
—
P00470290
RAILROAD MEDICARE
TX
Enumeration date
10/03/2006
Last updated
07/13/2021
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