Individual
PETRA CHLADEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
940 CENTRAL PARK DR STE 210, STEAMBOAT SPRINGS, CO 80487-8853
(970) 871-4811
Mailing address
940 CENTRAL PARK DR STE 210, STEAMBOAT SPRINGS, CO 80487-8853
(970) 871-4811
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1359
COLORADO STATE LICENSE
—
05
—
61501743
—
CO
Enumeration date
03/29/2006
Last updated
03/07/2023
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