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NPI Code Detail

MEDICARE: GARY A SAKRYD MS, PA C

MEDICARE: GARY A SAKRYD MS, PA C
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
1363AS0400XSurgical Physician AssistantPA.0001887CO
2363AM0700XMedical Physician AssistantPA.0001887CO
3363A00000XPhysician AssistantPA.0001887CO

General Provider Information

NPI Number : 1417171380
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY A SAKRYD MS, PA C
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number : 303-493-7000
Fax Number :
Provider Business Practice Location Address
First Line : 12605 E 16TH AVE
Second Line :
City : AURORA
State : CO
Zip : 80045-2545
Country : US
Telephone Number : 303-493-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 01/26/2026

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