Individual
GAYLE C SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2174
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
617
CO
363A00000X
Physician Assistant
Primary
PA617
CO
363AM0700X
Medical Physician Assistant
PA00617
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62625811
—
CO
Enumeration date
11/13/2006
Last updated
03/07/2023
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