Individual provider · Type 1 NPI

Theresa Rae Gent, PA-C

Medical Physician Assistant · Durango, CO

NPI number 1679042410 Active

Practice location

1 Mercado St Ste 130
Durango, CO 81301-7306

Call (970) 247-1120 Map

Fax (970) 247-1128

Mailing address

PO Box 800022
Kansas City, MO 64180-0022

Other practice locations

  • 630 W Maple St, Farmington, NM 87401-6113 · (505) 609-6300

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA.0005489 (CO)
Medical Physician Assistant Primary 363AM0700XPA.0008399 (CO)

Medical Physician Assistant: Definition to come...

12 other providers at this address

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About NPI 1679042410

Theresa Rae Gent, PA-C's National Provider Identifier is 1679042410, issued on Nov 23, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Durango, CO. The record was last updated on Feb 9, 2026.