Individual
JODI LEIGH MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2150 STADIUM DRIVE, BOULDER, CO 80309-5437
(303) 315-9000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1177
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0001177
CO
Other
Enumeration date
08/01/2006
Last updated
03/11/2024
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