PEPPER K ETTERS

VVMC DIVERSIFIED SERVICES

Dr PEPPER K ETTERS is a male medical professional, specializing in Physician Assistant. He graduated in 2008 from George Washington University School Of Medicine.

Contact

VVMC DIVERSIFIED SERVICES

181 W MEADOW DR
SUITE 100
VAIL
CO
816575058

Tel: 9704795036

PEPPER K ETTERS Information

Npi 1447552708
Pac Id 2466636840
Professional Enrollment Id I20160505000833
Last Name ETTERS
First Name PEPPER
Middle Name K
Suffix
Gender M
Credential
Medical School Name GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2008
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name VVMC DIVERSIFIED SERVICES
Group Practice Pac Id 8628145414
Number Of Group Practice Members 24
Line 1 Street Address 181 W MEADOW DR
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City VAIL
State CO
Zip Code 816575058
Phone Number 9704795036
Hospital Affiliation Ccn 1 060096
Hospital Affiliation Lbn 1 VAIL HEALTH HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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