Individual
MR. SEAN DALE ROCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3351 EASTBROOK DR STE 200, FORT COLLINS, CO 80525-5744
(888) 374-5066
(719) 623-0165
Mailing address
2860 S CIRCLE DR STE 109, COLORADO SPRINGS, CO 80906-4195
(888) 374-5066
(719) 623-0165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005304
CO
363A00000X
Physician Assistant
PA05097
TX
363AM0700X
Medical Physician Assistant
PA05097
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
316837902
—
TX
Enumeration date
12/29/2006
Last updated
01/18/2024
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