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NPI Code Detail

MEDICARE: JOSEPH MATTHEW PADDOCK PA-S

MEDICARE: JOSEPH MATTHEW PADDOCK PA-S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA.0009648CO

General Provider Information

NPI Number : 1497504492
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH MATTHEW PADDOCK PA-S
Provider Business Mailing Address
First Line : 2121 E HARMONY RD UNIT 100
Second Line :
City : FORT COLLINS
State : CO
Zip : 80528-3401
Country : US
Telephone Number : 970-624-2423
Fax Number : 970-490-4155
Provider Business Practice Location Address
First Line : 2121 E HARMONY RD UNIT 100
Second Line :
City : FORT COLLINS
State : CO
Zip : 80528-3401
Country : US
Telephone Number : 970-221-1000
Fax Number : 970-297-6886
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2024
Last Update Date : 05/07/2026

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Directions to “ JOSEPH MATTHEW PADDOCK PA-S” Practice Location

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