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Mrs. Candace Lillian Direzza, PAC
Medical Physician Assistant in Wheat Ridge, Colorado
NPI 1942251228

Candace Lillian Direzza is a Medical Physician Assistant based in Westminster, CO and is specialized in Medical. Candace Lillian Direzza practices in Wheat Ridge, CO and has the professional credentials of PAC. The NPI Number for Candace Lillian Direzza is 1942251228 and holds a License No. CO 1444 (Colorado).

The current practice location address for Candace Lillian Direzza is 3555 Lutheran Pkwy Ste 200, Wheat Ridge, CO and can be reached out via phone at 720-284-3700. You can also correspond with Candace Lillian Direzza through the mailing address at 9841 UPHAM DR, WESTMINSTER, CO - 80021-4070 (mailing address contact number: 303-422-4369).

Location: 3555 Lutheran Pkwy Ste 200, Wheat Ridge, CO, 80021-4070
person
Provider Profile Details
NPI Number
1942251228
Provider Name
Candace Lillian Direzza
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
3555 Lutheran Pkwy Ste 200, Wheat Ridge, CO, 80021-4070
Phone Number
720-284-3700
Fax Number
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45274819 05 CO
institution
Provider Business Practice Location Address Details
Address
3555 Lutheran Pkwy Ste 200
City
State
Zip
80033-6027
Phone Number
720-284-3700
Fax Number
person
Provider Business Mailing Address Details
Address
9841 Upham Dr
City
State
Zip
80021-4070
Phone Number
303-422-4369
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
CO 1444 (Colorado)
Definition
Definition to come...
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