DAVID FOUNTAIN, PA
Physician Assistant
Active
Individual
NPI: 1457978611
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Physician Assistant | 363A00000X | Yes | PA2021-0009 (NM) |
Frequently Asked Questions
NPI 1457978611 is the National Provider Identifier for DAVID FOUNTAIN, PA, a Physician Assistant provider located in Durango, CO. This NPI was enumerated on July 2, 2020.
DAVID FOUNTAIN, PA practices at 114 COTTONWOOD CREEK RD APT A1, Durango, CO 81301.
Quick Facts
- NPI
- 1457978611
- Type
- Individual
- Enumerated
- Jul 2, 2020
- Last Updated
- Nov 8, 2024
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