Individual
MAKENNA ALISON SCHMIDGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5995 IRIS PKWY, FREDERICK, CO 80504-6412
(623) 572-3215
Mailing address
203 S ROLLIE AVE, FORT LUPTON, CO 80621-1508
(303) 892-6401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0006992
CO
Other
Enumeration date
10/06/2021
Last updated
02/29/2024
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