Individual
HEIDI GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20270 E SMOKY HILL RD, CENTENNIAL, CO 80015-3138
(303) 680-0664
(303) 693-2043
Mailing address
750 W HAMPDEN AVE STE 105, ENGLEWOOD, CO 80110-2167
(303) 945-3299
(303) 945-3303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3796
CO
363AM0700X
Medical Physician Assistant
568
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29270065
—
CO
Enumeration date
11/07/2006
Last updated
07/20/2021
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