Individual provider · Type 1 NPI
Jonathan P. Degner, PA-C
Surgical Physician Assistant · Lakewood, CO
NPI number
1154604452
Active
Practice location
11700W 2nd Pl 280
Lakewood, CO 80228-1717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA001288 (ME) |
| Surgical Physician Assistant Primary | 363AS0400X | 0004374 (CO) |
Surgical Physician Assistant: Definition to come...
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About NPI 1154604452
Jonathan P. Degner, PA-C's National Provider Identifier is 1154604452, issued on Sep 22, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lakewood, CO. The record was last updated on Oct 5, 2015.