Individual
CLARE WIGHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C
Contact information
Practice address
488 JOSEPHINE ST, DENVER, CO 80206-4209
(720) 290-4200
Mailing address
488 JOSEPHINE ST, DENVER, CO 80206-4209
(720) 290-4200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2184
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29584779
—
CO
Enumeration date
10/25/2006
Last updated
07/17/2023
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