Angie Jouaneh Riddleberger P.A,.

NPI 1831174366 - Physician Assistant - 363AM0700X

NPI Details
NPI 1831174366
Gender Female
Enumeration Date 12/07/2005
Last Updated 05/08/2008
Entity Type Individual
Active Over 12 years ago
Practice Location
2750 BROADWAY ST
BOULDER CO, 80304-3573, US
Phone (303) 440-3000
Fax
Business Location
2750 BROADWAY ST
BOULDER CO, 80304-3573, US
Phone (303) 440-3000
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Colorado
License Number 1803
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According to our database, Angie Jouaneh Riddleberger P.A,. NPI is 1831174366, taxonomy code is 363AM0700X and license number is 1803, license state is located at Colorado. Angie Jouaneh Riddleberger P.A,. physically located at 2750 Broadway St, Boulder CO, 80304-3573. NPI Number Angie Jouaneh Riddleberger P.A,. has the Individual type.

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1831174366 NPI number is provided on an as is basis without warranty of any kind. 1831174366 is maintained by the National Plan & Provider Enumeration System. The contents of Angie Jouaneh Riddleberger P.A,. are for informational purposes only.