Individual
AMANDA VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1949
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91408229
—
CO
Enumeration date
10/03/2006
Last updated
04/03/2013
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