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Miss Sonemala Phommatha, PA-C
Surgical Physician Assistant in Aurora, Colorado
NPI 1720108830

Sonemala Phommatha is a Surgical Physician Assistant based in Aurora, CO and is specialized in Surgical. Sonemala Phommatha practices in Aurora, CO and has the professional credentials of PA-C. The NPI Number for Sonemala Phommatha is 1720108830 and holds a License No. PA05247 (Colorado).

The current practice location address for Sonemala Phommatha is 12605 E 16Th Ave, Aurora, CO and can be reached out via phone at 720-848-0000.

Location: 12605 E 16Th Ave, Aurora, CO, 80042-0429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720108830
Provider Name
Sonemala Phommatha
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
12605 E 16Th Ave, Aurora, CO, 80042-0429
Phone Number
720-848-0000
Fax Number
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
188291201 05 TX
8Y2613 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
12605 E 16Th Ave
City
Aurora
State
Colorado
Zip
80045-2545
Phone Number
720-848-0000
Fax Number
person
Provider Business Mailing Address Details
Address
12605 E 16Th Ave
City
Aurora
State
Colorado
Zip
80045-2545
Phone Number
720-848-0000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
2374 (Colorado)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
2374 (Colorado)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
PA05247 (Texas)
Definition
Definition to come...
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