Doctor Name: | JESSICA PLATT |
NPI Number: | 1205243755 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 0003997 |
Business Practice Address: | 940 Central Park Dr Ste 280 Steamboat Springs, CO - 804878853 |
Business Phone Number: | 9708796663 |
Business Fax Number: | 9708711234 |
Mailing Address: | 940 Central Park Dr Ste 280, STEAMBOAT SPRINGS |
State: | CO |
Postal Code: | 804878853 |
Phone Number: | 9708796663 |
Fax Number: | 9708711234 |
NPI Enumeration Date: | 07/16/2014 |
NPI Last Update Date: | 07/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 0003997 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |