| NPI Details | |
|---|---|
| NPI | 1316165954 |
| Gender | Female |
| Enumeration Date | 04/20/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 1776 S JACKSON ST STE 616 DENVER CO, 80210-3805, US |
|
| Phone | (303) 221-0162 |
| Fax | |
| Business Location | |
|---|---|
| 1519 S LEE ST LAKEWOOD CO, 80232-6342, US |
|
| Phone | (303) 988-9204 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 2255A2300X |
| License State | |
| License Number | |
| Remove 1316165954 NPI Number | |
According to our database, Gwyneth Short ATC NPI is 1316165954, taxonomy code is 2255A2300X Gwyneth Short ATC physically located at 1776 S Jackson St Ste 616, Denver CO, 80210-3805. NPI Number Gwyneth Short ATC has the Individual type.
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1316165954 NPI number is provided on an as is basis without warranty of any kind. 1316165954 is maintained by the National Plan & Provider Enumeration System. The contents of Gwyneth Short ATC are for informational purposes only.
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