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John D Prince, PA
Surgical Physician Assistant in Durango, Colorado
NPI 1386895407

John D Prince is a Surgical Physician Assistant based in Durango, CO and is specialized in Surgical. John D Prince practices in Durango, CO and has the professional credentials of PA. The NPI Number for John D Prince is 1386895407 and holds a License No. PA.0007004 (Colorado).

The current practice location address for John D Prince is 1 Mercado St, Durango, CO and can be reached out via phone at 970-382-9500.

Location: 1 Mercado St, Durango, CO, 81301-7308
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Provider Profile Details
NPI Number
1386895407
Provider Name
John D Prince
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1 Mercado St, Durango, CO, 81301-7308
Phone Number
970-382-9500
Fax Number
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA9104758 01 FL LICENSE
institution
Provider Business Practice Location Address Details
Address
1 Mercado St
City
State
Zip
81301-7308
Phone Number
970-382-9500
Fax Number
person
Provider Business Mailing Address Details
Address
1 Mercado St
City
State
Zip
81301-7308
Phone Number
970-382-9500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA.0007004 (Colorado)
Definition
Definition to come...
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