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Jerry Rider, PA-C
NPI 1194884494 · on the registry since 2006
Practice
- Address
- 1650 Cochrane Cir
Fort Carson, CO 80913 - Phone
- (719) 526-2361
- Organisation at this address
- Usa Meddac
Denver Vamc
Ach Evans-Carson
Evans Army Community Hospital
Evans Army Community HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 487
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
Surgical Physician Assistant
Surgical Physician Assistant - Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado