Individual
MARY CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C
Contact information
Practice address
7780 S BROADWAY, SUITE #150, LITTLETON, CO 80122-2648
(303) 795-5980
(303) 795-7881
Mailing address
3853 S NELSON CT, DENVER, CO 80235-1150
(303) 795-5980
(303) 795-7881
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
951
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08103054
—
CO
Enumeration date
08/11/2005
Last updated
09/08/2008
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