Individual
MRS. STACY MAXWELL BEHARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
799 E HAMPDEN AVE, SUTE 400, ENGLEWOOD, CO 80113-2700
(303) 789-2663
(303) 788-4871
Mailing address
799 E HAMPDEN AVE, SUITE 400, ENGLEWOOD, CO 80113-2700
(303) 789-2663
(303) 788-4871
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6152
GA
363A00000X
Physician Assistant
Primary
PA0004352
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41473868
—
CO
Enumeration date
07/21/2011
Last updated
01/27/2022
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