Individual provider · Type 1 NPI

Frederick Jennings, PA-C

Surgical Physician Assistant · Colorado Springs, CO

NPI number 1679782791 Active

Practice location

525 N Foote Ave, Ste 302
Colorado Springs, CO 80909-4501

Call (719) 365-5445 Map

Fax (719) 365-5530

Mailing address

2695 Rocky Mountain Ave, Suite 150
Loveland, CO 80538-8702

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1908 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1679782791

Frederick Jennings, PA-C's National Provider Identifier is 1679782791, issued on May 22, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Colorado Springs, CO. The record was last updated on Feb 16, 2015.