Individual
CHARLOTTE WITHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0004575
CO
363A00000X
Physician Assistant
51453
CA
Other
Enumeration date
03/19/2014
Last updated
04/26/2016
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