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Individual

AMANDA BECERRIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1633 MEDICAL CENTER PT, COLORADO SPRINGS, CO 80907-5700
(719) 636-2999
(719) 667-4150
Mailing address
2 S CASCADE AVE STE 140, COLORADO SPRINGS, CO 80903-1604
(719) 538-2900
(719) 538-2990

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
11931704-1206
UT
363A00000X
Physician Assistant
Primary
MSPA.0000015
CO

Other

Enumeration date
07/02/2020
Last updated
04/10/2024
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