NPI 1013019108

Tabatha Alma Tomajko, PAC

Practitioner Surgical Physician Assistant Lafayette, CO

Practice location

Address: 300 Exempla Circle, Suite 360 Bluestone Advanced Surgical Care, Lafayette, CO 80026
Phone: (303) 689-6560
Mailing address: 1995 E Coalton Rd APT 76-101, Superior, CO 80027-4419

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 2898 (CO)

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Registry record

NPI: 1013019108
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2006
Record last updated: 2 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.