Individual
GINGER RAE TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1726 COLE BLVD, LAKEWOOD, CO 80401-3213
(303) 403-7381
(303) 403-6254
Mailing address
1726 COLE BLVD, LAKEWOOD, CO 80401-3213
(303) 403-7381
(303) 403-6254
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2726
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51178877
—
CO
Enumeration date
11/22/2008
Last updated
09/22/2021
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