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Individual

REBECCA ALTHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 425-2089
Mailing address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(303) 425-4500

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1860
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
025969
KAISER COMMERCIAL NUMBER
CO
05
98271555
CO
01
P00361838
RAILROAD MEDICARE
Enumeration date
08/05/2006
Last updated
01/28/2015
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