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NPI Code Detail

MEDICARE: SARA HUNSICKER PA

MEDICARE: SARA HUNSICKER PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantNY

General Provider Information

NPI Number : 1245853183
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA HUNSICKER PA
Provider Business Mailing Address
First Line : 3920 N UNION BLVD STE 150
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-1907
Country : US
Telephone Number : 719-694-3595
Fax Number : 719-493-9936
Provider Business Practice Location Address
First Line : 3920 N UNION BLVD STE 150
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-1907
Country : US
Telephone Number : 719-694-3595
Fax Number : 719-493-9936
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2020
Last Update Date : 11/20/2024

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Directions to “ SARA HUNSICKER PA” Practice Location

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