COLLEEN WALLACE, PA-C

Physician Assistant

Active Individual
NPI: 1568187904

Practice Address

600 S AIRPORT RD BLDG D
Longmont, CO 80503

Phone: (303) 494-2705

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA.0007479 (CO)

Frequently Asked Questions

NPI 1568187904 is the National Provider Identifier for COLLEEN WALLACE, PA-C, a Physician Assistant provider located in Longmont, CO. This NPI was enumerated on October 7, 2022.
COLLEEN WALLACE, PA-C practices at 600 S AIRPORT RD BLDG D, Longmont, CO 80503.

Quick Facts

NPI
1568187904
Type
Individual
Enumerated
Oct 7, 2022
Last Updated
Sep 27, 2023

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