Individual
PAIGE SUDDARTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10375 PARK MEADOWS DR # 270, LONE TREE, CO 80124-6735
(303) 351-5995
Mailing address
10320 COMMONWEALTH ST APT 4307, LONE TREE, CO 80124-9618
(734) 787-1929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0005746
CO
Other
Enumeration date
03/04/2019
Last updated
05/26/2020
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