Individual
TYRE MARIE CONCAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14701 E EXPOSITION AVE, AURORA, CO 80012-2623
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0001841
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12656313
—
CO
Enumeration date
08/10/2006
Last updated
06/22/2021
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