Individual
BRET LOUIS TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 453-9543
Mailing address
1839 CLERMONT ST, DENVER, CO 80220-1111
(720) 453-9543
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.0005300
CO
363AM0700X
Medical Physician Assistant
PA21611
CA
Other
Enumeration date
09/13/2011
Last updated
10/30/2018
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