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Individual

DAWANDA R PESICKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10004567
WA
363AM0700X
Medical Physician Assistant
PA.0002983
CO
363AS0400X
Surgical Physician Assistant
10721
MN
363AS0400X
Surgical Physician Assistant
Primary
PA.0002983
CO
363AS0400X
Surgical Physician Assistant
PA10004567
WA

Other

Enumeration date
05/17/2006
Last updated
08/12/2025
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