Individual
RACHEL J MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2367
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0002367
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04018362
GROUP MEDICAID
CO
01
—
109864100
GROUP MEDICAID
WY
01
—
1699895755
GROUP NPI
—
01
—
200293420 A
GROUP MEDICAID
OK
05
—
47254327
—
CO
01
—
84127410413
GROUP MEDICAID
NE
Enumeration date
12/13/2006
Last updated
02/23/2019
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