Individual
CALEB CHRISTIAN MINETREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1500 PARK CENTRAL DR STE 150, HIGHLANDS RANCH, CO 80129-6688
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
TX
363AS0400X
Surgical Physician Assistant
Primary
PA.0006924
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
382828701
—
TX
01
—
382828702
CSHCN
TX
Enumeration date
02/23/2018
Last updated
10/20/2021
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