Individual
MEGAN DWYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 S POTOMAC ST, AURORA, CO 80012-5411
(303) 695-2628
(303) 306-7753
Mailing address
PO BOX 172328, DENVER, CO 80217-2328
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1135106
KS
363A00000X
Physician Assistant
Primary
PA.0004687
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.0004687
COLORADO MEDICAL LICENSE
CO
Enumeration date
07/08/2016
Last updated
08/10/2016
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