Individual
CORINNE MARIE RANTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14221 E EVANS AVE, AURORA, CO 80014-1459
(303) 751-2000
(303) 225-4246
Mailing address
PO BOX 2153 DEPT 40339, BIRMINGHAM, AL 35287-9387
(706) 271-0100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2482
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33625336
—
CO
Enumeration date
09/04/2007
Last updated
12/28/2022
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