Individual
MRS. SAMANTHA RUTH MAGNUSON HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, CCC-SLP
Contact information
Practice address
8510 BRYANT ST STE 200, WESTMINSTER, CO 80031-3845
(303) 650-4460
(720) 565-4130
Mailing address
1735 S PUBLIC RD STE 203, LAFAYETTE, CO 80026-7093
(303) 665-3036
(303) 665-3397
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005581
CO
Other
Enumeration date
06/22/2007
Last updated
05/14/2021
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