Doctor Name: | DARRIN PAUL GUITREAU |
NPI Number: | 1023140035 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | PA0003781 |
Business Practice Address: | 4895 Riverbend Rd Boulder, CO - 803012640 |
Business Phone Number: | 7202799098 |
Business Fax Number: | |
Mailing Address: | 4895 Riverbend Rd, BOULDER |
State: | CO |
Postal Code: | 803012640 |
Phone Number: | 7202799098 |
Fax Number: | |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 12/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA0003781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |