Individual
CHERYL ALLYSON BLACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4740 PEARL PKWY, SUITE 200, BOULDER, CO 80301-3078
(303) 449-2730
(303) 449-5821
Mailing address
4740 PEARL PKWY, SUITE 200, BOULDER, CO 80301-3078
(303) 449-2730
(303) 449-5821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0003763
CO
Other
Enumeration date
08/08/2013
Last updated
11/08/2016
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