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David Immanuel Freeman Fountain, PA
Physician Assistant in Durango, Colorado
NPI 1457978611

David Immanuel Freeman Fountain is a Physician Assistant based in Farmington, CO. David Immanuel Freeman Fountain practices in Durango, CO and has the professional credentials of PA. The NPI Number for David Immanuel Freeman Fountain is 1457978611 and holds a License No. (Colorado).

The current practice location address for David Immanuel Freeman Fountain is 1005 Waterfall Ln, Durango, CO and can be reached out via phone at 970-749-9113. You can also correspond with David Immanuel Freeman Fountain through the mailing address at PO BOX 1799, FARMINGTON, NM - 87499-1799 (mailing address contact number: 505-564-6890).

Location: 1005 Waterfall Ln, Durango, CO, 87499-1799
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457978611
Provider Name
David Immanuel Freeman Fountain
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1005 Waterfall Ln, Durango, CO, 87499-1799
Phone Number
970-749-9113
Fax Number
Provider Enumeration Date
07/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1005 Waterfall Ln
City
Durango
State
Colorado
Zip
81301-3741
Phone Number
970-749-9113
Fax Number
person
Provider Business Mailing Address Details
Address
1005 Waterfall Ln
City
Durango
State
Colorado
Zip
81301-3741
Phone Number
970-749-9113
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA2021-0009 (New Mexico)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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