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Individual

SUE A GRIFFITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1755 48TH ST, SUITE 200, BOULDER, CO 80301-2711
(303) 415-7450
(303) 494-5265
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 415-7450
(303) 494-5265

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0000459
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
34189769
CO
01
970021431
MEDICARE RAILROAD
CO
Enumeration date
12/02/2005
Last updated
11/09/2017
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