Doctor Name: | JAIMEE R PACHECO |
NPI Number: | 1053355263 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 1799 |
Business Practice Address: | 7400 E Crestline Cir Suite 100 Greenwood Village, CO - 801113652 |
Business Phone Number: | 3037923242 |
Business Fax Number: | 3037929403 |
Mailing Address: | 7400 E Crestline Cir, Suite 100 GREENWOOD VILLAGE |
State: | CO |
Postal Code: | 801113652 |
Phone Number: | 3037923242 |
Fax Number: | 3037929403 |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 02/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 1799 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |