Individual provider · Type 1 NPI

Denise Quattlebaum, PA-C

Surgical Physician Assistant · Fort Collins, CO

NPI number 1821410101 Active

Practice location

2500 E Prospect Rd
Fort Collins, CO 80525-9718

Call (970) 493-0112 Map

Fax (970) 493-0521

Other practice locations

  • 12605 E 16th Ave, Aurora, CO 80045-2545 · (720) 848-0000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA.0005218 (CO)
Surgical Physician Assistant Primary 363AS0400X5218 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1821410101

Denise Quattlebaum, PA-C's National Provider Identifier is 1821410101, issued on Jan 6, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Collins, CO. The record was last updated on Apr 23, 2019.