Individual
TIMOTHY AHEARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
10103 RIDGEGATE PKWY, SUITE 112, LONE TREE, CO 80124-5520
(303) 662-8250
(303) 662-8249
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-005266
IL
363AM0700X
Medical Physician Assistant
Primary
PA.0004736
CO
Other
Enumeration date
10/07/2014
Last updated
12/27/2018
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