Individual provider · Type 1 NPI

Jill Ann Fattor, PA-C

Surgical Physician Assistant · Aurora, CO

NPI number 1770929200 Active

Practice location

12605 E 16th Ave
Aurora, CO 80045-2545

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA.0003667 (CO)
Surgical Physician Assistant Primary 363AS0400XPA.0003667 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1770929200

Jill Ann Fattor, PA-C's National Provider Identifier is 1770929200, issued on May 10, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Aurora, CO. The record was last updated on May 20, 2013.