Individual
MRS. CARRIE RAE SCLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30772 SOUTHVIEW DR, #150, EVERGREEN, CO 80439-2213
(303) 674-2865
(303) 674-9865
Mailing address
30772 SOUTHVIEW DR, #150, EVERGREEN, CO 80439-2213
(303) 674-2865
(303) 674-9865
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
730
CO
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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