Individual
YAEL GOTTLIEB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 FEDERAL BLVD, DENVER, CO 80204-3219
(303) 436-4200
Mailing address
825 DAHLIA ST APT 203, DENVER, CO 80220-4224
(303) 829-5483
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005841
CO
363A00000X
Physician Assistant
—
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/06/2019
Last updated
03/03/2021
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