Individual
TIFFANY R KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5555 E ARAPAHOE RD, CENTENNIAL, CO 80122-2312
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-3382
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0003854
CO
Other
Enumeration date
02/12/2012
Last updated
03/14/2021
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