Individual
CHERIE MARIE MILLIRONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
350 LYCKMAN PL, FOUNTAIN, CO 80817-2861
(719) 632-5700
Mailing address
350 LYCKMAN PL, FOUNTAIN, CO 80817-2861
(719) 632-5700
(719) 344-7817
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0002954
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
311830YLQP
MEDICARE PTAN
CO
05
—
36635031
—
CO
Enumeration date
06/28/2006
Last updated
11/22/2024
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