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1720747934
DANIEL FETTIG
BOULDER, CO
NPI
1720747934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 0006373)
Enumeration Date
2021-12-15
Last Update Date
2021-12-15
Business Address
DANIEL FETTIG PA
5387 MANHATTAN CIR STE 201
BOULDER, CO 80303-4283
Phone number: 303-494-2707
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Mailing Address
DANIEL FETTIG PA
10449 GARLAND DR
WESTMINSTER, CO 80021-7355
Phone number: 303-653-4375
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