Individual
REBECCA ANN KASPERBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2575 SPRUCE ST, BOULDER, CO 80302-3806
(303) 449-3594
(303) 449-3112
Mailing address
17 VASSAR CT, LONGMONT, CO 80503-2134
(720) 971-2649
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0003511
CO
Other
Enumeration date
02/07/2013
Last updated
05/07/2018
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