Individual
JENNYE COLANTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 876, AURORA, CO 80040-0876
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
5601004764
MI
363AS0400X
Surgical Physician Assistant
Primary
3154
CO
Other
Enumeration date
03/29/2007
Last updated
09/06/2011
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