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NPI Code Detail

MEDICARE: DEBRA NEELAND PA

MEDICARE:   DEBRA  NEELAND  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
1363A00000XPhysician Assistant1170CO

General Provider Information

NPI Number : 1942237219
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRA NEELAND PA
Provider Business Mailing Address
First Line : 1707 COLE BLVD
Second Line : STE 250
City : GOLDEN
State : CO
Zip : 80401-3220
Country : US
Telephone Number : 303-763-4900
Fax Number : 303-763-5495
Provider Business Practice Location Address
First Line : 7950 KIPLING ST
Second Line : SUITE 101
City : ARVADA
State : CO
Zip : 80005-3923
Country : US
Telephone Number : 303-425-4680
Fax Number : 303-425-1616
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 07/08/2007

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Directions to “ DEBRA NEELAND PA” Practice Location

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