Individual
MS. BRYN MONTALVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1255 S WADSWORTH BLVD, LAKEWOOD, CO 80232-5406
(303) 985-4832
(303) 985-4851
Mailing address
3701 S BROADWAY, ENGLEWOOD, CO 80113-3611
(303) 360-6276
(303) 467-5355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004495
CO
363AM0700X
Medical Physician Assistant
MF1392430
NY
Other
Enumeration date
08/30/2007
Last updated
08/10/2016
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