person
Timothy A Mackie, PA
Surgical Physician Assistant in Thornton, Colorado
NPI 1689655466

Timothy A Mackie is a Surgical Physician Assistant based in Loveland, CO and is specialized in Surgical. Timothy A Mackie practices in Thornton, CO and has the professional credentials of PA. The NPI Number for Timothy A Mackie is 1689655466 and holds a License No. 1718 (Colorado).

The current practice location address for Timothy A Mackie is 13631 Colorado Blvd, Thornton, CO and can be reached out via phone at 303-252-2960 and via fax at 303-252-2964.

Location: 13631 Colorado Blvd, Thornton, CO, 80538-9071
person
Provider Profile Details
NPI Number
1689655466
Provider Name
Timothy A Mackie
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
13631 Colorado Blvd, Thornton, CO, 80538-9071
Phone Number
303-252-2960
Fax Number
303-252-2964
Provider Enumeration Date
11/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019498 01 CO KAISER COMMERCIAL NUMBER
12839701 05 CO
institution
Provider Business Practice Location Address Details
Address
13631 Colorado Blvd
City
State
Zip
80602-7051
Phone Number
303-252-2960
Fax Number
303-252-2964
person
Provider Business Mailing Address Details
Address
13631 Colorado Blvd
City
State
Zip
80602-7051
Phone Number
303-252-2960
Fax Number
303-252-2964
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1718 (Colorado)
Definition
Definition to come...
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