| Doctor Name: | HEATHER DAMON |
| NPI Number: | 1285609867 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | 2250 |
| Business Practice Address: | 822 W 4th St Leadville, CO - 804613861 |
| Business Phone Number: | 7194860230 |
| Business Fax Number: | |
| Mailing Address: | 266 Alpine Dr, LEADVILLE |
| State: | CO |
| Postal Code: | 804612021 |
| Phone Number: | 9704859366 |
| Fax Number: | |
| NPI Enumeration Date: | 02/17/2006 |
| NPI Last Update Date: | 02/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 2250 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |