Individual
TARA J EDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
360 PEAK ONE DR, STE 260, FRISCO, CO 80443
(970) 668-5584
(970) 262-2196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1653
CO
Other
Enumeration date
07/20/2006
Last updated
03/02/2023
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