Individual
SARA ENID TISHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8959 E 40TH AVE, DENVER, CO 80238-5026
(720) 462-2263
(303) 845-9656
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.148505
OH
207Q00000X
Family Medicine Physician
Primary
DR.0075904
CO
207Q00000X
Family Medicine Physician
MD478338
PA
Other
Enumeration date
04/02/2019
Last updated
09/26/2025
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