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MRS. IVY JANE CHALMERS PAC

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

Registrant NPI Number: 1376673582

Individual Registrant:
MRS. IVY JANE CHALMERS PAC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
978 EUCLID AVE  CARBONDALE, CO 81623-1820 US
Tel: 970-963-3350  Fax: 970-963-2958

Contact information for business:
1906 BLAKE AVE  GLENWOOD SPRINGS, CO 81601-4227 US
Tel: 970-384-7033  Fax: 970-384-8174

Registration Information:
NPI: 1376673582
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Medical
CO2153

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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