Individual
MADISON EILEEN DEWHIRST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-8725
Mailing address
12631 E 17TH AVE RM 4602, AURORA, CO 80045-2527
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0007260
CO
Other
Enumeration date
03/01/2022
Last updated
02/29/2024
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