Individual
MS. MARY ROATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
999 17TH ST STE 500, DENVER, CO 80202-2728
(720) 434-4876
(303) 225-4246
Mailing address
999 17TH ST STE 500, DENVER, CO 80202-2728
(720) 434-4876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3336
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3336
LICENSE
CO
Enumeration date
01/23/2012
Last updated
10/15/2025
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