Individual provider · Type 1 NPI

Mallory J. Easter, PA-C

Medical Physician Assistant · Colorado Springs, CO

NPI number 1619403078 Active

Practice location

525 Bob Peters Grv
Colorado Springs, CO 80909-4533

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Other practice locations

  • 115 S Parkside Dr, Colorado Springs, CO 80910-3130 · (719) 572-6100

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA.0006555 (CO)
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1619403078

Mallory J. Easter, PA-C's National Provider Identifier is 1619403078, issued on May 4, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Colorado Springs, CO. The record was last updated on Jun 7, 2023.