Individual
ALISON MARIE GODINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5995 IRIS PARKWAY, FREDERICK, CO 80530-4849
(303) 833-2050
(303) 833-9183
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 286-4560
(303) 286-4589
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0003469
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46580859
—
CO
Enumeration date
12/06/2012
Last updated
11/08/2013
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