Individual
GINA STECINA BOLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3655 E 104TH AVE, THORNTON, CO 80233-4469
(303) 254-8500
(303) 453-4994
Mailing address
3655 E 104TH AVE, THORNTON, CO 80233-4469
(303) 254-8500
(303) 453-4994
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1022
CO
363AM0700X
Medical Physician Assistant
Primary
1022
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1022
STATE LICENSE NUMBER
CO
Enumeration date
11/17/2006
Last updated
09/16/2021
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