Individual
MALLORY JURGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1550 S POTOMAC ST STE 370, AURORA, CO 80012-5454
(303) 369-1080
Mailing address
1550 S POTOMAC ST STE 370, AURORA, CO 80012-5433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006990
CO
Other
Enumeration date
12/09/2021
Last updated
12/06/2023
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