Individual
MICHELLE BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAA
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
ANT.0000084
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O961726
—
CO
Enumeration date
01/11/2018
Last updated
09/12/2018
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