Individual
MELISA ANN FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
181 W MEADOW DR STE 400, VAIL, CO 81657-5058
(970) 479-5880
Mailing address
181 W MEADOW DR STE 400, VAIL, CO 81657-5058
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363A00000X
Physician Assistant
Primary
PA.0005261
CO
Other
Enumeration date
02/22/2007
Last updated
02/21/2018
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