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Individual

MRS. SUSANNE A GALVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2960 N CIRCLE DR STE 200, COLORADO SPRINGS, CO 80909-1163
(719) 634-8891
(719) 634-1897
Mailing address
2960 N CIRCLE DR STE 200, COLORADO SPRINGS, CO 80909-1163
(719) 634-8891
(719) 634-1897

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0001190
CO
363AS0400X
Surgical Physician Assistant
1190
CO

Other

Enumeration date
10/05/2006
Last updated
11/02/2017
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