MISS Berkeley Fial, PA

NPI #1124513981 in Boulder, Colorado

Provider Information

NPI Number: 1124513981
Entity Type: Individual
Name: MISS Berkeley Fial, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 25, 2018
Last Updated: Sep 1, 2021

Practice Location

Address: 3575 BROADWAY ST
City: Boulder
State: Colorado
ZIP Code: 80304-1825
Phone: (303) 449-0933

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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