Individual
CHANDLER BROOKS CORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12505 E. 16TH AVE, AIP2, 3RD FLOOR, AURORA, CO 80045
(720) 848-5300
Mailing address
4747 W 29TH AVE, DENVER, CO 80212-1508
(704) 618-5850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-05474
NC
363AM0700X
Medical Physician Assistant
Primary
0005696
CO
Other
Enumeration date
01/12/2015
Last updated
03/25/2019
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