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Mr. Alvin Massenburg, PA-C
Medical Physician Assistant in Wray, Colorado
NPI 1780991034

Alvin Massenburg is a Medical Physician Assistant based in Wray, CO and is specialized in Medical. Alvin Massenburg practices in Wray, CO and has the professional credentials of PA-C. The NPI Number for Alvin Massenburg is 1780991034 and holds a License No. 60180642 (Colorado).

The current practice location address for Alvin Massenburg is 1017 W 7Th St, Wray, CO and can be reached out via phone at 970-332-4895 and via fax at 970-332-4665.

Location: 1017 W 7Th St, Wray, CO, 80758-1420
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Provider Profile Details
NPI Number
1780991034
Provider Name
Alvin Massenburg
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1017 W 7Th St, Wray, CO, 80758-1420
Phone Number
970-332-4895
Fax Number
970-332-4665
Provider Enumeration Date
09/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1780991034 05 CO
institution
Provider Business Practice Location Address Details
Address
1017 W 7Th St
City
State
Zip
80758-1420
Phone Number
970-332-4895
Fax Number
970-332-4665
person
Provider Business Mailing Address Details
Address
1017 W 7Th St
City
State
Zip
80758-1420
Phone Number
970-332-4895
Fax Number
970-332-4665
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
60180642 (Washington)
Definition
Definition to come...
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