Individual
SAMANTHA EUNY TENGBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
300 S JACKSON ST STE 240, DENVER, CO 80209-3131
(720) 724-3668
Mailing address
300 S JACKSON ST STE 240, DENVER, CO 80209-3131
(720) 724-3668
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0005993
CO
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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