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NICOLAS A MCDUFFEE PA-C

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

Registrant NPI Number: 1508378423

Individual Registrant:
 NICOLAS A MCDUFFEE PA-C
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1017 W 7TH ST  WRAY, CO 80758-1420 US
Tel: 970-332-4895  Fax: --

Contact information for business:
520 EMERSON ST  WRAY, CO 80758-1521 US
Tel: 303-478-9036  Fax: --

Registration Information:
NPI: 1508378423
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
COPA.0005183

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CO - Page 1

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