Individual
MR. ROBERT AARON PREVATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2465 S DOWNING ST STE 110, DENVER, CO 80210-5822
(303) 778-5774
(303) 778-2436
Mailing address
PO BOX 801106, KANSAS CITY, MO 64180-1106
(800) 953-0104
(303) 765-6670
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005239
CO
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000198510
—
CO
Enumeration date
09/04/2012
Last updated
12/15/2021
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