Individual
SARAH E PODOLSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 E BOULDER ST, STE 700, COLORADO SPRINGS, CO 80909-5533
(719) 635-7172
Mailing address
1400 E BOULDER ST, STE 700, COLORADO SPRINGS, CO 80909-5533
(719) 635-7172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64830071
—
CO
Enumeration date
09/14/2015
Last updated
07/26/2016
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