DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH MOYLE CARLSON, PA-C

Active

ELIZABETH MOYLE CARLSON, PA-C is a Physician Assistant healthcare provider located in GRAND JCT, Colorado. NPI 1063645992 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRAND JCT, CO

Registration Details

NPI Number
1063645992
Provider Type
Individual
Gender
Female
NPI Issued
Aug 26, 2009 (16.958186284081 yrs)
Last Updated
Apr 4, 2024
Licenses
2780 (CO)
PA.0002780 (CO)
PA.0002780 (CO)

Practice Information

Address
735 WHITE AVE
GRAND JCT, CO, 815013441
Browse CO providers · Browse ZIP 81501
Phone
9702485880
Fax
9702411112
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Surgical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in GRAND JCT, CO

Name Credential NPI
EMILY CRENSHAW PA-C 1487231544
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.