Individual
TRACY ANN SAWCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8300 W 38TH AVE, WHEAT RIDGE, CO 80033-6005
(970) 485-3151
Mailing address
PO BOX 5104, BRECKENRIDGE, CO 80424-5104
(970) 485-3151
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0005050
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA.0005050
PA LICENSE NUMBER
CO
Enumeration date
07/17/2017
Last updated
07/17/2017
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