Individual
TRACY L FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1665 AURORA CT, AURORA, CO 80045-2517
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2081
NE
363AM0700X
Medical Physician Assistant
Primary
PA.0006523
CO
Other
Enumeration date
12/13/2016
Last updated
04/23/2021
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