Individual
MR. PAUL WHITNEY SAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
600 WEST 16TH ST, PUEBLO, CO 81003
(719) 542-7222
Mailing address
582 CATALINA DR, COLORADO SPRINGS, CO 80906-5141
(719) 287-2627
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1094
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1094
STATE LICENSE
CO
Enumeration date
03/28/2007
Last updated
03/25/2008
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