Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DAVID IMMANUEL FREEMAN FOUNTAIN, PA
Active Sole ProprietorDAVID IMMANUEL FREEMAN FOUNTAIN, PA is a Physician Assistant healthcare provider located in DURANGO, Colorado. NPI 1457978611 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DURANGO, CO
Registration Details
- NPI Number
- 1457978611
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2020 (6.1074206718173 yrs)
- Last Updated
- Nov 8, 2024
- License
-
PA2021-0009 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
114 COTTONWOOD CREEK RD APT A1DURANGO, CO, 813016163Browse CO providers · Browse ZIP 81301
- Phone
- 9707499113
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in DURANGO, CO
| Name | Credential | NPI |
|---|---|---|
| MICHAEL EMILE GUILLETTE | PAC | 1174512115 |
| KORY LYNNE WILLIAMS | P.A.C | 1790757771 |
| ROBERT H HILL | PA | 1538135140 |
| JANELLE R STEWART | PA-C | 1427010842 |
| APRIL J LEUZINGER | PA-C | 1205890076 |
| PETER E JAMIESON | PA | 1023073475 |
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.