Individual
ERICA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12505 E. 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0006662
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/05/2019
Last updated
03/09/2022
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