Healthcare Provider Details

I. General information

NPI: 1093366122
Provider Name (Legal Business Name): CLAIRE TOMPKINS PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2019
Last Update Date: 11/18/2024
Certification Date: 11/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 W YALE AVE STE B100
DENVER CO
80227-3460
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 303-935-4689
  • Fax: 912-623-2156
Mailing address:
  • Phone: 303-763-4900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number9431
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA.0007065
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: