Individual
PAUL V FENNESSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13123 E 16TH AVE # B069, AURORA, CO 80045-7106
(720) 777-7286
Mailing address
13123 E 16TH AVE # B069, AURORA, CO 80045-7106
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
NA
CO
Enumeration date
12/20/2017
Last updated
12/20/2017
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