Gregory Sims, PA
Physician Assistant, Medical in Fort Collins, CO. Individual provider (NPI-1).
NPI number1669937199
StatusActive
Last updated in NPPESJan 16, 2024
Details
- NPI
- 1669937199
- Entity type
- Individual (NPI-1)
- Name
- Gregory Sims
- Credential
- PA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 8, 2019
- Certification date
- Jan 16, 2024
- Last updated
- Jan 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA.0005651 | CO | Yes |
| 363AM0700X | Physician Assistant, Medical | PA2097 | NV |
Practice location
4700 Lady Moon DrFort Collins, CO 80528-4426
Phone 970-821-4500 · Fax 970-744-5350
Mailing address
4700 Lady Moon DrFort Collins, CO 80528-4426
Phone 520-874-4069 · Fax 970-744-5350
Other practice locations
3692 E Sunset Rd
Las Vegas, NV 89120-7237
Las Vegas, NV 89120-7237
Phone 702-735-7668 · Fax 702-735-1411
1755 48th St
Boulder, CO 80301-2711
Boulder, CO 80301-2711
Phone 303-604-5000
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