Tara J Edick PA

NPI 1972523850 - Physician Assistant - 363A00000X

NPI Details
NPI 1972523850
Gender Female
Enumeration Date 07/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
777 BANNOCK ST
MC 7782
DENVER CO, 80204-4507, US
Phone (303) 436-6000
Fax
Business Location
777 BANNOCK ST
MC 7782
DENVER CO, 80204-4507, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Colorado
License Number 1653
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According to our database, Tara J Edick PA NPI is 1972523850, taxonomy code is 363A00000X and license number is 1653, license state is located at Colorado. Tara J Edick PA physically located at 777 Bannock St, Denver CO, 80204-4507. NPI Number Tara J Edick PA has the Individual type.

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1972523850 NPI number is provided on an as is basis without warranty of any kind. 1972523850 is maintained by the National Plan & Provider Enumeration System. The contents of Tara J Edick PA are for informational purposes only.