Individual
ALICIA A HEUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4404 BARRANCA LN UNIT 101, CASTLE ROCK, CO 80104-7432
(720) 733-5260
(720) 733-5261
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4034
(970) 490-4347
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-002388
IL
363AM0700X
Medical Physician Assistant
1808
WI
363AS0400X
Surgical Physician Assistant
Primary
PA.0006717
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42867400
—
WI
Enumeration date
07/07/2005
Last updated
05/26/2022
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