MEDICARE: AMY JO BRONSON PA

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
1	363A00000X	Physician Assistant	2691	CO

General Provider Information

NPI Number	:	1699927277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY JO BRONSON PA

Provider Business Mailing Address
First Line	:	2643 PATTERSON RD
Second Line	:	SUITE 503
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-1936
Country	:	US
Telephone Number	:	970-245-2400
Fax Number	:	970-242-9092

Provider Business Practice Location Address
First Line	:	2643 PATTERSON RD
Second Line	:	SUITE 503
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81506-1936
Country	:	US
Telephone Number	:	970-245-2400
Fax Number	:	970-242-9092

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2008
Last Update Date	:	02/08/2017

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1164401501 — CLAUDE ALAN BRACHFELD MD
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Practice Fax:

1962446302 — DR. RICHARD GEORGE GARMANY MD
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1679852792 — JULIE MOUTON NP
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1649557950 — ANDREA LAMB N.P.
Practice Location Address:

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Directions to “ AMY JO BRONSON PA” Practice Location

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