Individual
HANNAH STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8301 E PRENTICE AVE STE 125, GREENWOOD VILLAGE, CO 80111-2989
(303) 771-3939
Mailing address
10461 W INDORE DR, LITTLETON, CO 80127-3498
(303) 502-6240
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0005552
CO
Other
Enumeration date
02/19/2019
Last updated
04/22/2020
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