Individual
MRS. MARY JOSEPHINE BYRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 N FOOTE AVE, STE 302, COLORADO SPRINGS, CO 80909-4501
(719) 365-5445
(719) 365-5530
Mailing address
5450 WESTERN AVE STE B, BOULDER, CO 80301-2709
(303) 442-2395
(303) 442-1073
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-3218
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83304371
—
CO
Enumeration date
12/05/2006
Last updated
11/09/2017
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