Individual
CHRISTOPHER LEE COUSAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, NREMT-P
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2889
CO
Other
Enumeration date
10/06/2009
Last updated
10/06/2009
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