Individual
AUBREY DANELL PAVLACKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2200
Mailing address
1000 RUSH DR, SALIDA, CO 81201-9627
(316) 993-9833
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0005156
CO
Other
Enumeration date
09/25/2017
Last updated
05/11/2021
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