Individual
BONNIE OVERHOLSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1080 E ELIZABETH ST, FORT COLLINS, CO 80524-3953
(970) 493-6353
(970) 493-6366
Mailing address
1080 E ELIZABETH ST, FORT COLLINS, CO 80524-3953
(970) 493-6353
(970) 493-6366
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1117
CO
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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