Healthcare Provider Details

I. General information

NPI: 1811653439
Provider Name (Legal Business Name): ABBEY GRIFFITH PA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2021
Last Update Date: 11/09/2021
Certification Date: 11/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8199 E 1ST AVE
DENVER CO
80230-7163
US

IV. Provider business mailing address

7351 E LOWRY BLVD STE 200
DENVER CO
80230-6083
US

V. Phone/Fax

Practice location:
  • Phone: 720-370-8260
  • Fax:
Mailing address:
  • Phone: 303-731-8927
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0006070
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: