Individual
ANNA REBECCA GALLARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
777 BANNOCK ST, MC 4000, DENVER, CO 80204-4507
(303) 602-5011
(303) 602-5056
Mailing address
777 BANNOCK ST, MC 4000, DENVER, CO 80204-4507
(303) 602-5011
(303) 602-5056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004174
CO
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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