Individual
BAILIE CHARLENE DENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
875 W 136TH AVE, BROOMFIELD, CO 80023-9303
(303) 544-3820
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA.0007161
CO
Other
Enumeration date
06/20/2021
Last updated
03/25/2024
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