Individual
MS. PAMELA FAE PENROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3555 LUTHERAN PKWY, STE 340, WHEAT RIDGE, CO 80033-6021
(303) 005-9966
Mailing address
1021 DEXTER ST, BROOMFIELD, CO 80020-1458
(303) 996-6005
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
303
CO
Other
Enumeration date
02/19/2010
Last updated
11/18/2010
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