Individual
AARON MOLENCAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3676 PARKER BLVD, SUITE NUMBER 390, PUEBLO, CO 81008-2210
(719) 595-7780
(719) 595-7789
Mailing address
3676 PARKER BLVD, SUITE NUMBER 390, PUEBLO, CO 81008-2210
(719) 595-7780
(719) 595-7789
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0003510
CO
363AS0400X
Surgical Physician Assistant
Primary
3510
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06707718
—
CO
Enumeration date
08/09/2012
Last updated
08/14/2014
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