Individual
REBEKAH VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6278 S TROY CIR, CENTENNIAL, CO 80111-6422
(317) 504-5732
Mailing address
2010 ROSETTE LN, CASTLE ROCK, CO 80104-7321
(317) 504-5732
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA.0007094
CO
Other
Enumeration date
10/11/2019
Last updated
08/04/2024
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