Individual
MRS. SAMANTHA TERESA THAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-6820
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003892A
IN
363AM0700X
Medical Physician Assistant
Primary
PA.0008288
CO
363AS0400X
Surgical Physician Assistant
PA11474
TX
Other
Enumeration date
02/02/2018
Last updated
01/17/2024
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