Individual
SAMANTHA GOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
9681 W CHATFIELD AVE UNIT E, LITTLETON, CO 80128-9220
(701) 866-9343
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0004929
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA0004929
STATE OF COLORADO
CO
Enumeration date
02/23/2017
Last updated
04/22/2021
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