Individual
JENNIFER L CONWAY STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
990 BANNOCK ST, DENVER, CO 80204-4028
(303) 602-8976
Mailing address
990 BANNOCK ST, DENVER, CO 80204-4028
(303) 602-8976
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0662
NH
363AM0700X
Medical Physician Assistant
Primary
920
CO
Other
Enumeration date
07/20/2006
Last updated
04/07/2021
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