Individual
MS. THERESA BRIDGES HENNESY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12631 E 17TH AVE, AURORA, CO 80045-2527
(720) 848-2820
Mailing address
12631 E 17TH AVE, AURORA, CO 80045-2527
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
TL.0009096
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2022
Last updated
03/08/2023
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