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Individual

TRENTON STICKNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4743 ARAPAHOE AVE STE 202, BOULDER, CO 80303-1128
(303) 938-5700
(303) 998-0007
Mailing address
4743 ARAPAHOE AVE STE 202, BOULDER, CO 80303-1128
(303) 938-5700
(303) 998-0007

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0006080
CO
363A00000X
Physician Assistant
PA.0006080
CO
363AS0400X
Surgical Physician Assistant
Primary
PA.0006080
CO

Other

Enumeration date
12/11/2018
Last updated
05/10/2022
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