Provider Demographics
NPI:1710277322
Name:PERCY, REBECCA KATE (MD)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:KATE
Last Name:PERCY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2700 GILSTRAP CT
Mailing Address - Street 2:#230
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-8735
Mailing Address - Country:US
Mailing Address - Phone:970-945-2840
Mailing Address - Fax:970-945-9581
Practice Address - Street 1:320 BEARD CREEK RD
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632-6426
Practice Address - Country:US
Practice Address - Phone:970-945-2840
Practice Address - Fax:970-945-9581
Is Sole Proprietor?:No
Enumeration Date:2011-04-15
Last Update Date:2016-10-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT208000000X208000000X
CO0053936208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics