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Organization

BRENDA J PARDY OTR LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA PARDY (OWNER OTR)
(303) 649-9007
Entity
Organization

Contact information

Practice address
6535 S DAYTON ST STE 3800, GREENWOOD VILLAGE, CO 80111-6181
(303) 649-9007
Mailing address
6535 S DAYTON ST STE 3800, GREENWOOD VILLAGE, CO 80111-6181

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
21053537
CO
Enumeration date
07/16/2007
Last updated
07/16/2007
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