Healthcare Provider Details

I. General information

NPI: 1932497104
Provider Name (Legal Business Name): CATHERINE M SZOT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2011
Last Update Date: 07/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 E 19TH AVE SUITE 3150
DENVER CO
80218-1216
US

IV. Provider business mailing address

1601 E 19TH AVE SUITE 3150
DENVER CO
80218-1216
US

V. Phone/Fax

Practice location:
  • Phone: 303-831-8400
  • Fax:
Mailing address:
  • Phone: 303-831-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA3184
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: