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DANNY L MINGUS PA-C

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1942206479

Individual Registrant:
 DANNY L MINGUS PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
255 SW 8TH AVE  CEDAREDGE, CO 81413-3902 US
Tel: 970-856-3146  Fax: 970-856-4385

Contact information for business:
255 SW 8TH AVE  CEDAREDGE, CO 81413-3902 US
Tel: 970-856-3146  Fax: 970-856-4385

Registration Information:
NPI: 1942206479
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
NC102823
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
COPA.0004609

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE B PTAN FOR MOUNTAIN PEAKS URGENT CARE517692YYS0CO01
MEDICARE B PTAN FOR NORTH FORK MEDICAL CLINIC504498ZS0NCO01




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