Individual
HOLLY E MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5965 FIRESTONE BLVD, FIRESTONE, CO 80504-6607
(720) 652-7055
(720) 652-7056
Mailing address
5965 FIRESTONE BLVD, FIRESTONE, CO 80504-6607
(720) 652-7055
(720) 652-7056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004926
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
572036YLB8
MEDICARE
CO
05
—
9000146128
—
CO
Enumeration date
04/03/2017
Last updated
04/06/2020
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