Individual
ANDREW T CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1830 FRANKLIN ST, SUITE 450, DENVER, CO 80218-1128
(303) 321-1333
(303) 321-0620
Mailing address
1830 FRANKLIN ST, SUITE 450, DENVER, CO 80218-1128
(303) 321-1333
(303) 321-0620
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
2540
CO
363AS0400X
Surgical Physician Assistant
Primary
2540
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04013215
—
CO
05
—
04403819
—
CO
Enumeration date
11/20/2007
Last updated
01/14/2011
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