Individual
MS. MACK ABERNATHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11059 E BETHANY DR STE 200, AURORA, CO 80014-2637
(303) 617-2300
(303) 617-2397
Mailing address
11059 E BETHANY DR STE 200, AURORA, CO 80014-2637
(303) 617-2300
(303) 617-2397
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O97820701
—
CO
Enumeration date
04/16/2016
Last updated
04/16/2016
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