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NPI Code Detail

MEDICARE: MRS. JENNIFER K BUTTON PA-C

MEDICARE:  MRS. JENNIFER K BUTTON  PA-C
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 Assistant1165CO

General Provider Information

NPI Number : 1013913086
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER K BUTTON PA-C
Provider Business Mailing Address
First Line : 715 S 9TH ST
Second Line :
City : CANON CITY
State : CO
Zip : 81212-4911
Country : US
Telephone Number : 719-269-8820
Fax Number : 719-204-0230
Provider Business Practice Location Address
First Line : 715 S 9TH ST
Second Line :
City : CANON CITY
State : CO
Zip : 81212-4911
Country : US
Telephone Number : 719-269-8820
Fax Number : 719-204-0230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 11/09/2016

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Directions to “ MRS. JENNIFER K BUTTON PA-C” Practice Location

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