Wellformed AI

NPI 1073344073 · live from the CMS NPI Registry

Altitude Nerostimulator Services

Physician Assistant, Medical in Centennial, CO. National Provider Identifier 1073344073, active.

NPI record

NPI1073344073 Type 2 · organization
StatusActive
Primary specialtyPhysician Assistant, Medical 363AM0700X
Practice location7669 E Phillips Cir, Centennial, CO 80112
Practice phone303-819-7464
EnumeratedAugust 12, 2024
Last updatedAugust 12, 2024
Authorized officialChristopher Jackson, Founder

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant, Medical primary363AM0700X—
Physician Assistant, Surgical363AS0400X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.