Individual
CANDICE DORRIS PUSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17560 S GOLDEN RD, SUITE 100, GOLDEN, CO 80401-6005
(303) 526-1117
(303) 278-0611
Mailing address
17560 S GOLDEN RD, SUITE 100, GOLDEN, CO 80401-6005
(303) 526-1117
(303) 278-0611
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2791
CO
363AM0700X
Medical Physician Assistant
Primary
2791
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2791
CO STATE LICENSE
CO
Enumeration date
06/30/2009
Last updated
03/20/2019
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