Individual
PAMELA G INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 554-5164
Mailing address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 554-5164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
003342
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015856
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/07/2007
Last updated
07/08/2007
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