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Individual

KRISTIN R SEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 413-0100
(303) 413-0300
Mailing address
2994 RAMS HORN RUN, BROOMFIELD, CO 80020-8022
(303) 953-1950
(303) 413-0300

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
677
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
22581723
CO
Enumeration date
04/10/2007
Last updated
07/08/2007
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