Individual provider · Type 1 NPI

Jonathan Ellis Welker, PA-C

Medical Physician Assistant · Boulder, CO

NPI number 1770812588 Active

Practice location

4801 Riverbend Rd Ste 200
Boulder, CO 80301-2613

Fax (303) 415-8801

Mailing address

PO Box 9049
Boulder, CO 80301-9049

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA.0002934 (CO)

Medical Physician Assistant: Definition to come...

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About NPI 1770812588

Jonathan Ellis Welker, PA-C's National Provider Identifier is 1770812588, issued on Dec 8, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boulder, CO. The record was last updated on Sep 29, 2022.