Individual
CHRISTINE M PENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
777 BANNOCK ST # MC0188, DENVER, CO 80204
(303) 602-1590
(303) 602-1664
Mailing address
777 BANNOCK ST # MC0188, DENVER, CO 80204-4597
(303) 602-1590
(303) 602-1664
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0004882
CO
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
900162358
—
CO
Enumeration date
11/12/2012
Last updated
03/30/2021
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