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Individual

MS. ASHLEY PIPER DONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
777 BANNOCK ST # MC0188, DENVER, CO 80204-4507
(303) 602-1590
Mailing address
777 BANNOCK ST # MC0188, DENVER, CO 80204-4507
(303) 602-1590

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2013001189
MO
363AS0400X
Surgical Physician Assistant
Primary
PA0003071
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
148380073
PTAN
MO
Enumeration date
12/24/2010
Last updated
04/05/2021
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