| Botond A Vita, PA | |
|
2115 Stuart Ave, Alamosa, CO 81101-2269 | |
| (719) 589-8091 | |
| (719) 589-8112 |
| Full Name | Botond A Vita |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 2115 Stuart Ave, Alamosa, Colorado |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134225592 | NPI | - | NPPES |
| VIVI2460 | Other | CO | ANTHEM BC/BS |
| 840255530069 | Other | CO | ROCKY MTN HEALTH PLANS |
| 56582722 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 00380 (West Virginia) | Secondary |
| 363A00000X | Physician Assistant | 2460 (Colorado) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Botond A Vita, PA 106 Blanca Ave, Alamosa, CO 81101-2340 Ph: (719) 589-3000 | Botond A Vita, PA 2115 Stuart Ave, Alamosa, CO 81101-2269 Ph: (719) 589-8091 |
Mr. Tylen Joe Pavlovsky, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 106 Blanca Ave, Alamosa, CO 81101 Phone: 719-589-3000 | |
Edward Kulp, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2115 Stuart Ave, Alamosa, CO 81101 Phone: 719-589-8082 Fax: 719-587-6354 | |
Amy Nicole Blakeslee, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2115 Stuart Ave, Alamosa, CO 81101 Phone: 719-589-8082 | |
Johnny B Sisneros, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 Blanca Ave Ste 300, Alamosa, CO 81101 Phone: 719-589-3658 | |
Mr. Howard William Cox, P.A.-C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 106 Blanca Ave, Alamosa, CO 81101 Phone: 719-589-8073 Fax: 719-589-8087 | |
Laticia R Hollingsworth, P.A.-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 Blanca Ave, Orthopedic Department, Alamosa, CO 81101 Phone: 719-589-8091 Fax: 719-589-8012 |