Individual
GOLDA REISDORPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2405 RESEARCH PKWY, COLORADO SPRINGS, CO 80920-1044
(719) 574-9191
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(719) 538-2900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0001301
CO
363AM0700X
Medical Physician Assistant
1301
CO
Other
Enumeration date
06/17/2006
Last updated
02/05/2025
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