Individual
ANDREA BUDZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 N DETROIT ST, LAGRANGE, IN 46761-1158
(260) 463-2133
(260) 463-3775
Mailing address
3001 HAVANA ST, DENVER, CO 80238-4099
(720) 458-6825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003894A
IN
363A00000X
Physician Assistant
PA.0006341
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598238883
—
IL
Enumeration date
01/09/2019
Last updated
04/27/2023
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