Individual
SIMONE PATRICE CODERELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P. A.
Contact information
Practice address
5799 STETSON HILLS BLVD STE 100, COLORADO SPRINGS, CO 80917-4223
(719) 471-2273
(719) 325-8971
Mailing address
7305 PEARLY HEATH RD, COLORADO SPRINGS, CO 80908-5640
(404) 275-6797
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0008220
CO
363AM0700X
Medical Physician Assistant
PA0008220
CO
Other
Enumeration date
06/11/2007
Last updated
12/24/2024
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