Individual
MS. SANDRA BARGERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
1400 E BOULDER ST STE 2508, COLORADO SPRINGS, CO 80909-5533
(719) 365-6999
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4034
(970) 490-4347
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004368
GA
367H00000X
Anesthesiologist Assistant
Primary
ANT.0000127
CO
367H00000X
Anesthesiologist Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172493895A
—
GA
Enumeration date
04/25/2006
Last updated
04/17/2020
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